Enteric Non Urachal Adenocarcinoma of the Bladder: A Case Report

Introduction: Adenocarcinoma of the bladder is a rare bladder cancer subtype, accounting for about 0.5-2% of all subtypes of cancer.

We report the case of a 80 year old patient with an enteric adenocarcinoma of the bladder, grown on a tubulovillous adenoma.

Case Report: A 80 year old man, with a Charlson comorbidity index 2, underwent a computer tomography (CT) angiography of the abdomen and legs due to the presence of occlusive vascular disease, that showed the presence of a focal contrast enhancement of 12 mm at the bladder dome. The patient underwent a trans-urethral resection of a bladder tumour and the histological examination revealed the presence of an enteric adenocarcinoma of the bladder (low grade) growth on a tubulovillous adenoma (pT1 G2) (Figure 1-4).

The patient was treated conservatively and after 34 months of follow up showed no evidence of disease and was asymptomatic.

Keywords: bladder cancer, enteric, villous adenoma, adenocarcinoma.