Adenocarcinoma of the Bladder.
- Author:
Sang Kon LEE
1
;
Chongwook LEE
Author Information
1. Department of Urology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
adenocarcinoma;
bladder tumor
- MeSH:
Adenocarcinoma*;
Cystectomy;
Diagnosis;
Hematuria;
Humans;
Incidence;
Mucins;
Neoplasm Metastasis;
Seoul;
Survival Rate;
Urachus;
Urinary Bladder Neoplasms;
Urinary Bladder*
- From:Korean Journal of Urology
1985;26(2):155-160
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adenocarcinoma of the bladder is rare. During the last 20 years 13 patients with adenocarcinoma of the bladder were managed at Seoul National University Hospital. The incidence is 2.2% of all primary epithelial bladder neoplams. 10 patients had primary adenocarcinoma and urachal origins were identified in 3 patients. The most common presentation was painless gross hematuria. 9 of 10 patients with primary adenocarcinoma had deeply infiltrating tumor with or without distant metastasis at the time of initial diagnosis. Various interventions including TUR and partial cystectomy were carried out. In 5 patients postoperative radiation therapy was tried without substantial improvement. Three year survival rate of primary adenocarcinoma had was averaged less than 25% regardless of the mode of treatment. One patient was free of cancer up to 3 years. 3 patients with urachal adenocarcinoma had stage D of mucin producing adenocarcinoma. Partial cystectomy including enbloc excision of urachus in 1 was carried out, partial cystectomy in 1 and exploration for unresectable tumor in one patient who died in one year.
