Case Report: Bladder adenocarcinoma: primary or urachal?

Abstract

<ns4:p><ns4:bold>Background:</ns4:bold> Bladder adenocarcinoma (AC) is a scarce histological variant and there are few studies on its proper management. No previous case reports present the management of a urachal tumor and the incidental finding of bladder adenocarcinoma.</ns4:p><ns4:p> <ns4:bold>Clinical case:</ns4:bold> We present the case of a young woman with nonspecific symptoms, who presented with a prior history of dysuria, bladder tenesmus, suprapubic pain and urinary urgency for one year, which had been treated as recurrent urinary tract infection. A partial cystectomy plus extended lymphadenectomy was scheduled. We found a bladder tumor with characteristics of a urachal tumor and the pathological report indicated a primary bladder AC. The patient had a complete recovery at one year of follow-up.</ns4:p><ns4:p> <ns4:bold>Conclusions:</ns4:bold> A patient can present with a tumor with urachal characteristics; however, the pathology report can show primary AC. The decision to perform partial cystectomy was an appropriate option for the location of this tumor, with optimal surgical results. Still, a long-term follow-up is necessary. More specific management guidelines are required for the treatment of AC.</ns4:p>

Bladder Adenocarcinoma: A Case Report

“…There are two types of bladder AC: primary and secondary. Secondary bladder AC can develop directly from primary bladder AC or from metastasizing from a distant site like the colon, prostate, endometrium, cervix, or breast (3) . Although it can be found anywhere in the bladder, it typically arises from the trigone and the posterior wall.…”