Primary adenocarcinoma of the bladder: a retrospective study of 20 patients.

A retrospective analysis is presented of 20 patients with primary adenocarcinoma of the bladder treated with non-radical procedures. The survival rate has averaged less than 1 year, regardless of the mode of therapy, with only 1 patient alive 2 years after segmental cystectomy. The male-to-female ratio of patients was only 2 to 1. All patients had deeply infiltrating tumor at the time of initial diagnosis. Chemotherapy in conjunction with irradiation therapy used in the treatment of 1 of the patients proved to be ineffective.