膀胱腺癌较少见,据国外文献报道约占全部膀胱上皮肿瘤之0.5～2%,国内文献报道约占1.2～2.6%。因该肿瘤恶性程度高,发展快,浸润深,预后差,故及时诊断及正确处理极为重要。我院自1954～1987年6月共收治膀胱上皮性肿瘤356例,其中经病理证实的原发性膀胱腺癌10例,占3.56%。本文结合临床资料对其组织发生学、诊断与治疗进行讨论。临床资料 Bladder adenocarcinoma is rare, according to foreign literature accounts for about 0.5 to 2% of all bladder epithelial tumors, the domestic literature accounts for about 1.2 to 2.6%. Because of the high degree of tumor malignancy, rapid development, deep infiltration, poor prognosis, it is timely diagnosis and correct treatment is extremely important. In our hospital from 1954 to June 1987 were treated a total of 356 cases of bladder epithelial tumors, of which 10 cases of pathologically confirmed primary adenocarcinoma, accounting for 3.56%. This article combines clinical data to discuss its histology, diagnosis and treatment. clinical information