title: [Primary signet ring cell bladder adenocarcinoma. Case report with a multidisciplinary therapeutical approach].
abstract: BACKGROUND
  Bladder carcinoma is the second most frequent genitourinary tumor. Adenocarcinoma accounts for up to 0.5 to 2% of bladder carcinoma types. The pathology states the bladder adenocarcinomas are mucous secreting lesions with glandular, colloid or signet ring cell patterns. Even the important advances reached in the field of bladder carcinoma, yet less frequent lesions as bladder adenocarcinoma do not have a standarized treatment protocol.
  
  
  METHODS
  Case report of a patient with primary signet ring cell bladder adenocarcinoma with a therapeutical multidisciplinary approach. Literature review.
  
  
  RESULTS
  Patient's outcome and follow up, with regard of therapeutical implications based on pathological findings.
  
  
  CONCLUSIONS
  Bladder adenocarcionoma is a rare oncological entity. Treatment protocols for these particular tumors are lacking. Multidisciplinary approach represents the best therapeutical intervention.
authors.affiliation: Universidad Central de Venezuela, Hospital Universitario de Caracas, Cátedra de Clínica Urológica, Servicio de Urología, Instituto Anatomopatológico Dr. "José Antonio O'Daly".
authors.forename: G H
authors.initials: GH
authors.lastname: Cruz-Gonzáles
authors.forename: R E
authors.initials: RE
authors.lastname: Sánchez-Salas
authors.forename: K J
authors.initials: KJ
authors.lastname: Palmer-Román
authors.forename: F R
authors.initials: FR
authors.lastname: Sánchez-Rivero
authors.forename: R
authors.initials: R
authors.lastname: Sánchez-Salas
authors.forename: I
authors.initials: I
authors.lastname: Daboin
authors.forename: D
authors.initials: D
authors.lastname: Mota
authors.forename: A
authors.initials: A
authors.lastname: León
mesh_terms: D000328:Adult; D018279:Carcinoma, Signet Ring Cell / Q000473:pathology / Q000601:surgery; D015653:Cystectomy; D006801:Humans; D008297:Male; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery