Adenocarcinoma mucinoso de vejiga

Martí, J.L. Palmero; Zaragozá, J.A. Queipo; García, M.Á. Bonillo; Alba, A. Budía; Sempere, Francisco José Vera; Cruz, J.F. Jiménez

doi:10.1016/s0210-4806(03)72920-9

Cited by 8 publications

(5 citation statements)

References 6 publications

(22 reference statements)

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“…There is no general agreement about the treatment of bladder adenocarcinoma [1,12,11]. Because of its different histological types, early surgical treatment with or without adjuvant radio-chemo-therapy appears to be the best option in cases of small, organ-confined disease [1,13] with mucinous differentiation.…”

Section: Discussionmentioning

confidence: 99%

“…Because of its different histological types, early surgical treatment with or without adjuvant radio-chemo-therapy appears to be the best option in cases of small, organ-confined disease [1,13] with mucinous differentiation. In addition, Ca 19-9 proves to be a reliable marker of disease activity in tumors that produce markers.…”

Section: Discussionmentioning

confidence: 99%

“…Staging total body CT scans showed no extravesical spreading, thus, according to the literature [1], and after an oncology consultation, an anterior pelvectomy with extended lymphadenectomy and a Bricker’s ileal conduit urinary diversion was proposed and then performed.…”

Section: Case Reportmentioning

confidence: 99%

“…Primary mucinous adenocarcinoma of the bladder is a rare uro-oncologic disease with an aggressive behaviour, poorly responsive to radiation or chemotherapy, as first-line treatment [1]. …”

Section: Introductionmentioning

confidence: 99%

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Mucinous adenocarcinoma of the urinary bladder

et al. 2012

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SummaryBackground:Mucinous adenocarcinoma of the urinary bladder is a rare primary urologic disease, poorly responsive to radiation or chemotherapy as first-line treatment.Case Report:After trans-urethral resection of the bladder, a 62-year-old woman was diagnosed with mucinous adenocarcinoma of the urinary bladder. An upper gastro-intestinal endoscopy and a colonoscopy excluded any primary site of origin from those gastro-intestinal tracts. After whole-body CT staging scans, an anterior pelvectomy was performed, confirming a mucinous adenocarcinoma of the bladder, with no extra-vesical spreading. Some onco markers were sampled before surgery, and Ca 19-9 showed very high values, with a decreasing trend after pelvectomy. Six month after surgery, bilateral inguinal lymph node dissection was performed because of bilateral palpable masses – histologic examination showed a single metastatic node. The patient also received external radiotherapy of the inguinal area. Twenty-eight months after pelvectomy, the patient appears healthy.Conclusions:Early radical surgery with or without adjuvant radio-chemo-therapy appears to be the best option for mucinous adenocarcinoma of the bladder, and a good outcome is likely to be related with a confined disease and small tumor size. In addition, Ca 19-9 sampling proves to be useful in tumors that produce markers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

“…Primary mucinous adenocarcinoma of the bladder is a rare uro-oncologic disease with an aggressive behaviour, poorly responsive to radiation or chemotherapy, as first-line treatment [1]. …”

Section: Introductionmentioning

confidence: 99%

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Mucinous adenocarcinoma of the urinary bladder

et al. 2012

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“…Adult vesical exstrophy and persistent urachal remnants also figure among the risk factors associated with vesical adenocarcinoma. As for clinical presentation, the most common symptoms are hematuria, suprapubic pain, and voiding difficulties, similar to other bladder tumors [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Mucinous Bladder Adenocarcinoma: Case Report and Literature Review

Santos

Souza

Lima

et al. 2015

Case Reports in Urology

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Primary mucinous adenocarcinoma is an extremely rare type of bladder cancer, with aggressive behavior and poor response to chemotherapy and radiotherapy. The symptoms are similar to those of other bladder tumors. Surgery is the main treatment and remains the only curative option. There may be a progression from mucinous metaplasia to mucinous adenoma and then mucinous adenocarcinoma. We present the case of a 40-year-old woman with recurrent lower urinary tract infections, submitted to imaging tests, which showed a bladder tumor. After transurethral resection, pathology showed intestinal mucinous carcinoma. Metastatic work-up was negative. New surgical procedure showed metaplasia but no recurrence of the carcinoma. The patient is now using antibiotic prophylaxis and will undergo a cystoscopy every 3 months and computed tomography in one year.

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