Primary mucinous adenocarcinoma is

原发性黏液腺癌是一种极为罕见的膀胱癌，具有侵袭性，对化学疗法和放射疗法的反应较差。症状与其他膀胱肿瘤相似。手术是主要治疗手段，仍然是唯一的治疗选择。从粘液化生到粘液腺瘤，然后是粘液腺癌可能会发展。我们介绍了一名40岁女性反复下尿路感染的病例，并进行了影像学检查，结果显示膀胱肿瘤。经尿道切除后，病理显示为肠粘液性癌。转移性检查为阴性。新的外科手术显示有化生，但没有复发。该患者现在正在使用抗生素预防，将每3个月进行一次膀胱镜检查，并在一年内进行计算机断层扫描。

原发性粘液腺癌是一种极其罕见的膀胱癌，具有攻击性行为和对化疗和放疗反应不良。症状与其他膀胱肿瘤相似。手术是主要治疗，仍然是唯一的治疗选择。可能有从粘液代谢到粘液腺瘤，然后粘液腺癌的进展。我们提出了一个40岁的妇女复发性下尿路感染的病例，提交成像测试，显示膀胱肿瘤。转液切除术后，病理学显示肠道粘液癌。转移工作为负数。新的外科手术显示代谢，但没有癌症复发。患者现在使用抗生素预防，每3个月进行一次囊镜检查，并在一年进行计算机断层扫描。

Primary mucinous adenocarcinoma is an extremely rare type of bladder cancer, with aggressive behavior and poor response to chemotherapy and radiotherapy. The symptoms are similar to those of other bladder tumors. Surgery is the main treatment and remains the only curative option. There may be a progression from mucinous metaplasia to mucinous adenoma and then mucinous adenocarcinoma. We present the case of a 40-year-old woman with recurrent lower urinary tract infections, submitted to imaging tests, which showed a bladder tumor. After transurethral resection, pathology showed intestinal mucinous carcinoma. Metastatic work-up was negative. New surgical procedure showed metaplasia but no recurrence of the carcinoma. The patient is now using antibiotic prophylaxis and will undergo a cystoscopy every 3 months and computed tomography in one year.<br>