Bladder adenocarcinoma: 31 reported cases.
Retrospective review of 31 cases of bladder adenocarcinoma.


METHODS
All patients diagnosed with adenocarcinoma of the bladder at the second affiliated hospital and commercial worker's hospital in Shanxi between 1985 and 1999 were reviewed.


RESULTS
The cohort consisted of 31 patients, 25 with primary bladder adenocarcinoma, and 6 patients with urachal adenocarcinoma. Compared to the patients with primary adenocarcinoma, the urachal group were younger (67 versus 56 years), and more likely to be female (M:F 3:1 versus 1:2), and had a worse survival (45% versus 20% at 3 years). In the primary bladder adenocarcinoma group, the 3-year survival rate was 45% after radical cystectomy, and 33% after partial cystectomy. Local tumor recurrence after partial cystectomy was 25%.


CONCLUSIONS
Urachal adenocarcinoma occurred in a younger age group with a female predominance compared to primary adenocarcinoma. Partial cystectomy was associated with a relatively high rate of local tumor recurrence.
Xiaoxu
L
L
Department of Urology, The Second Affiliated Hospital of Shanxi Medical University, Taiyuan, 030001 Shanxi, P.R. of China.
Jianhong
L
L
Jinfeng
W
W
Klotz
L H
LH
D000230:Adenocarcinoma / Q000175:diagnosis / Q000628:therapy; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000628:therapy