title: Mucinous adenocarcinoma of the urinary bladder.
abstract: BACKGROUND
  Mucinous adenocarcinoma of the urinary bladder is a rare primary urologic disease, poorly responsive to radiation or chemotherapy as first-line treatment.
  
  
  METHODS
  After trans-urethral resection of the bladder, a 62-year-old woman was diagnosed with mucinous 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 a mucinous adenocarcinoma of the bladder, with no extra-vesical spreading. Some onco markers were sampled before surgery, and Ca 19-9 showed very high values, with a decreasing trend after pelvectomy. Six month after surgery, bilateral inguinal lymph node dissection was performed because of bilateral palpable masses - histologic examination showed a single metastatic node. The patient also received external radiotherapy of the inguinal area. Twenty-eight months after pelvectomy, the patient appears healthy.
  
  
  CONCLUSIONS
  Early radical surgery with or without adjuvant radio-chemo-therapy appears to be the best option for mucinous adenocarcinoma of the bladder, and a good outcome is likely to be related with a confined disease and small tumor size. In addition, Ca 19-9 sampling proves to be useful in tumors that produce markers.
authors.affiliation: Department of Urology, S. Eugenio Hospital, Rome, Italy.
authors.forename: Giulio
authors.initials: G
authors.lastname: Baffigo
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Delicato
authors.forename: Daniele
authors.initials: D
authors.lastname: Bianchi
authors.forename: Stefano
authors.initials: S
authors.lastname: Signore
authors.forename: Edoardo
authors.initials: E
authors.lastname: Tartaglia
authors.forename: Francesco
authors.initials: F
authors.lastname: Corvese
authors.forename: Alessandro
authors.initials: A
authors.lastname: Perla
authors.forename: Bonaventura
authors.initials: B
authors.lastname: Marino
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Santeusanio
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Ferdinandi
keywords: Ca 19-9; adenocarcinoma; bladder; mucinous