Case Report
Year: 2020 | Month: April | Volume: 10 | Issue: 4 | Pages: 131-134
Primary Adenocarcinoma of the Urinary Bladder- A Rare Case Report
Sudarshan Pandit1, Shweta Dwivedy2
1Consultant Pathologist, HCG Manavta Cancer Centre, Nashik, Formerly; Post Graduate at Department of Pathology, Dr. Shankarrao Chavan Govt. Medical College, Nanded, India
2M.D.S., Private Practitioner, Nashik
Corresponding Author: Sudarshan Pandit
ABSTRACT
Background: Urinary Bladder adenocarcinoma is an uncommon malignant tumour accounting for less than 2% of all the malignant urinary bladder tumours. These tumors show varied histologic picture and degree of differentiation.
Case Report: A 60 year old woman came with history of haematuria since one month. Urine cytology shows malignant cells. After Partial cystectomy of the bladder, it was diagnosed with Primary 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 an adenocarcinoma of the bladder, with no extra-vesical spreading.
Conclusions: In conclusion, because there are no characteristic symptoms for the adenocarcinoma of urinary bladder, the diagnosis is mainly based on histopathology. Early radical surgery with or without adjuvant radio-chemo-therapy appears to be the best option for adenocarcinoma of the urinary bladder, and a good outcome is likely to be related with a confined disease and small tumor size.
Key words: Urinary bladder, Adenocarcinoma, Primary