Urinary bladder esonephric clear cell adenocarcinoma

Mesonephric adenocarcinoma of the urinary bladder is a rare tumut whose origin is still uncertain. The authors report the case of a 19 Year old woman hospitalized for a huge pelvic mass revealed by hematuria. Trans-urethral biopst showed the mesonephric nature of this mass The treatment consisted of an anterior pelvectomy with total colpectomy, associated to complementary radiotherapy. With a follow-up of 30 months, the patient is still alive without recurrence or metastasis. The etiopathogenic, histologic and therapeutic aspects of this tumour are reviewed.