Management of adenocarcinoma of urinary bladder (reports of 29 cases)

    Niu Haitao, Qiu Zhilei, Yang Huixiang, Zhang Yibing, Li Tao, Wang Yi, Sun Guang

    (Department of Urology, the Second Hospital of Tianjin Medical University, Institute of Urology, Tianjin 300211, China)

    ABSTRACT: Objective To improve the diagnosis accuracy and the treatment of urinary bladder adenocarcinoma. Methods Of the 29 cases of urinary bladder adenocarcinoma, there were 18 cases of primary bladder adenocarcinoma, among which 11 had underwent radical cystectomy and urinary diversion, while the others underwent partial cystectomy. Of the 9 cases of urachal adenocarcinoma, 6 received extended partial bladder resection, 3 underwent radical cystectomy and urinary diversion. 2 cases of signetª²ring cell carcinoma received radical cystectomy and urinary diversion. Results During the whole followª²up, 4 patients were lost, 25 were in control, followª²up times ranging from 5 months to 120 months. The 1 year survival rate was 64%(17 cases), the 2 year survival rate 60%(15 cases) and the 5 year survival rate 20%(5 cases). All the patients whose survival time exceeded 5 years were in the early stage. Conclusion The key points to the treatment of adenocarcinoma of urinary bladder are early diagnosis, differentiation of primary adenocarcinoma and urachal adenocarcinoma, the most suitable operation method. ......