Ung thư biểu mô tuyến tại bàng quang: Báo cáo 2 trường hợp lâm sàng

Bladder adenocarcinoma is a scarce histological variant. Most of reports are single-case and small-series. There are no clearly guideline treatment for this subtype bladder cancer. We present 2 patients with vesical adenocarcinoma. The first patient was a 45-year-old woman with a two- months history of intermittent marcroscopic hematuria. Cystoscopy reveal a fungating tumor with 2.5cm diameter, biopsy result is mucious adenocarcinoma. The patient was diagnosed urachal adenocarcinoma. A partial cystectomy with removal of urachus and umblicious. During surgery, we found a tumor from urachus extend to bladder with volume of 3cm by 4cm and the pathology after surgery was also mucious adenocarcinoma. After 6 months of surgery, there is no recurrence lesion. The second was a 33-year-old man. He presented with symptom of hematuria. The biopsy result on cystoscopy was enteric adenocarcinoma. Upper gastrointestinal scopy and colorectal scopy were performed, but there was no evidence of tumor in the exams. A partial cystectomy was scheduled. The pathological report indicated adenocarcinoma with enteric feature and tumor extend beyond tunica muscularis. After surgery 3 weeks, patient had recovered and urinated normally.