Rajendra Nerli
The primary mucinous adenocarcinoma of the bladder is an extremely rare urologic malignancy and usually creates a diagnostic dilemma, since it cannot be easily differentiated from adenocarcinoma that originate from the colon and the prostate. Hematuria is the most common presenting symptom. Other symptoms include dysuria, nocturia, frequency and lower abdominal pain. Bladder adenocarcinomas are resistant to chemotherapy and radiation, and surgery remains the most effective treatment option. Commonly seen in patients over the age of 50 years and is believed that these lesions progress from mucinous metaplasia to mucinous adenoma and then mucinous adenocarcinoma; however, no study has confirmed this hypothesis till now. Adult exstrophy of the bladder and persistent urachal remnants are also known to be risk factors associated with vesical adenocarcinoma. The prognosis and survival is poorer in non-urachal than urachal adenocarcinoma. We report a case of mucinous adenocarcinoma of the urinary bladder in a 30 year old adult male.
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