Urethral adenocarcinoma in a female : a case report

67歳女性.患者は外陰部出血・糜爛, 外陰部痛を主訴に, 精査加療目的で著者らの施設へ入院となった.入院時, 外尿道口に母指頭大, 暗赤色調の腫瘤が突出して存在し, 表面平滑, 弾性硬, 易出血性であった.尿道膀胱鏡で腫瘍は外尿道口に限局し, 骨盤部造影CTでは, 尿道部に辺縁よくenhanceされ内部不均一に造影される腫瘍が描出された.以上より, 尿道腫瘍と診断し, 腫瘍を含めた尿道部分切除術, 新外尿道口の作成を行った.病理組織学的に原発性尿道腺癌と診断され, 術後, 排尿状態は良好であり, 5ヵ月経過現在, 再発転移はみられていない
A 67-year-old female was referred to our hospital with the chief complaint of genital bleeding. Physical examination revealed a thumb's-head-sized tumor at the external urethral meatus. Histopathological examination of the biopsy specimen suggested papillary carcinoma. She underwent partial urethrectomy with negative surgical margins. The final pathological diagnosis of the tumor was papillary adenocarcinoma, of Stage A according to Grabstald's classification. She is alive with no evidence of recurrence at 5 months after surgery.