Tejeda-Mariaca J Eduardo, Ordoñez-Alcantara Marco, Bello-Sedano Aldo, Perez-Cornejo Victor, Grandez-Urbina J Antonio
Urology Deparment, Hospital Nacional Alberto Sabogal Sologuren, Callao, 07001, Peru.
Uroscience Research Group, Lima, 15046, Peru.
F1000Res. 2019 Oct 4;8:1717. doi: 10.12688/f1000research.20106.1. eCollection 2019.
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. 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. 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.
膀胱腺癌（AC）是一种罕见的组织学类型，关于其恰当治疗的研究较少。此前尚无病例报告阐述脐尿管肿瘤及膀胱腺癌偶然发现的治疗情况。我们报告一例有非特异性症状的年轻女性病例，该患者有一年的排尿困难、膀胱坠胀感、耻骨上区疼痛及尿急病史，此前一直按复发性尿路感染治疗。计划进行部分膀胱切除术加扩大淋巴结清扫术。我们发现了一个具有脐尿管肿瘤特征的膀胱肿瘤，病理报告显示为原发性膀胱AC。患者在随访一年时完全康复。患者可能表现为具有脐尿管特征的肿瘤；然而，病理报告可能显示为原发性AC。鉴于该肿瘤的位置，进行部分膀胱切除术是一个合适的选择，手术效果理想。尽管如此，仍需要长期随访。膀胱腺癌的治疗需要更具体的管理指南。
