1978年2月至1997年10月收治膀胱腺癌28例，其中原发性膀胱腺癌23例，脐尿管腺癌5例。文中分析了本病临床表现、膀胱镜检查及膀胱造影等特点，结合文献讨论组织起源、早期诊断及治疗原则。治疗上主张广泛膀胱部分切除术或全膀胱切除术，联合放疗、化疗及免疫治疗，可望提高5年生存率。 February 1978 to October 1997 admitted to 28 cases of cystadenocarcinoma, including 23 cases of primary cystadenocarcinoma, urachal adenocarcinoma in 5 cases. This article analyzes the clinical manifestations of this disease, cystoscopy and cystography and other characteristics, combined with the literature discuss the origin of the organization, early diagnosis and treatment principles. Treatment advocate a wide range of partial cystectomy or cystectomy, radiotherapy, chemotherapy and immunotherapy, is expected to increase 5-year survival rate.