title: [Bladder adenocarcinoma. Case report].
abstract: OBJECTIVE
  Primary bladder adenocarcinoma is a rare entity. We performed a review of the literature on this subject and present a clinical case.
  
  
  RESULTS
  A 74 year old female patient presents to the emergency department with complaints of gross hematúria not accompanied by lower urinary tract symptoms. Diagnostic work-up included renal and bladder ultrasound, cistoscopy and abdomino-pelvic C. T. scan. Metastatic disease was excluded. Trans-urethral resection revealed an invasive adenocarcinoma. A gynaecologic origin was excluded by further gynaecologic examination and an anterior pelvic exanteration was performed. The bladder specimen showed primary bladder adenocarcinoma, pT3aNO. At 6 months of follow-up, the patient does not present disease progression or surgical complications.
  
  
  CONCLUSIONS
  Primary bladder adenocarcinoma is rare. Unlike urothelial carcinoma, it responds poorly to chemotherapy or radiotherapy Radical Cistectomy offer the best chance of long-term survival.
authors.affiliation: Servicio de Urología, Hospital Egaz Moniz, Lisboa, Portugal. mjts74@gmail.com
authors.forename: Mário Jorge
authors.initials: MJ
authors.lastname: Soares
authors.forename: Tiago
authors.initials: T
authors.lastname: Neves
authors.forename: Ana
authors.initials: A
authors.lastname: Covita
authors.forename: Pedro
authors.initials: P
authors.lastname: Monteiro
authors.forename: Artur
authors.initials: A
authors.lastname: Canhoto
authors.forename: Rui
authors.initials: R
authors.lastname: Nogueira
authors.forename: José Luis
authors.initials: JL
authors.lastname: Barreto
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Mendonça
authors.forename: Manuela
authors.initials: M
authors.lastname: Maya
authors.forename: Helder
authors.initials: H
authors.lastname: Monteiro
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery; D000368:Aged; D005260:Female; D006801:Humans; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery