Primary adenocarcinoma of the urethra is rarely reported. We report a case of a 47-year-old male with symptoms of urinary obstruction started 2 years before diagnosis. Video-assisted urethrocystoscopy revealed a papillary mass almost obstructing the entire lumen with bleeding. Pathology report was consistent with primary adenocarcinoma of the urethra.
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References
1.
BoorjianSA, KimSP, WeightCJ, ChevilleJC, ThapaP, FrankI. Risk factors and outcomes of urethral recurrence following radical cystectomy. Eur Urol, 2011; 60:1266–1272.
2.
MaekM. [Penis-preserving surgery in patients with primary penile urethral cancer] (Ger). Urologe A, 2014; 53:1800–1804.
3.
GattaG, van der ZwanJM, CasaliPG, et al.Rare cancers are not so rare: The rare cancer burden in Europe. Eur J Cancer, 2011; 47:2493–2511.
4.
DalbagniG, ZhangZF, LacombeL, HerrHW. Male urethral carcinoma: Analysis of treatment outcome. Urology, 1999; 53:1126–1132.
5.
RabbaniF. Prognostic factors in male urethral cancer. Cancer, 2011; 117:2426–2434.
6.
MostofiFK, DavisCJJr., SesterhennIA. Carcinoma of the male and female urethra. Urol Clin North Am, 1992; 19:347–358.
Medina PerezM, Valero PuertaJ, Sanchez GonzalezM, Valpuesta FernandezI, Marin MartinJ. [Squamous carcinoma of the male urethra, its presentation as a scrotal abscess] (Spa). Arch Esp Urol, 1999; 52:792–794.
9.
Van de VoordeW, MeertensB, BaertL, LauwerynsJ. Urethral squamous cell carcinoma associated with urethral stricture and urethroplasty. Eur J Surg Oncol, 1994; 20:478–483.
10.
ColapintoV, EvansDH. Primary carcinoma of the male urethra developing after urethroplasty for stricture. J Urology, 1977; 118:581–584.
SawczukI, AcostaR, GrantD, WhiteRD. Post urethroplasty squamous cell carcinoma. N Y State J Med, 1986; 86:261–263.
13.
MohanH, BalA, PuniaRP, BawaAS. Squamous cell carcinoma of the prostate. Int J Urol, 2003; 10:114–116.
14.
ArvaNC, DasK. Diagnostic dilemmas of squamous differentiation in prostate carcinoma case report and review of the literature. Diagn Pathol, 2011; 6:46.
15.
CuppMR, MalekRS, GoellnerJR, EspyMJ, SmithTF. Detection of human papillomavirus DNA in primary squamous cell carcinoma of the male urethra. Urology, 1996; 48:551–555.
16.
WienerJS, LiuET, WaltherPJ. Oncogenic human papillomavirus type 16 is associated with squamous cell cancer of the male urethra. Cancer Res, 1992; 52:5018–5023.
17.
GandhiJS, KhuranaA, TewariA, MehtaA. Clear cell adenocarcinoma of the male urethral tract. Indian J Pathol Microbiol, 2012; 55:245–247.
18.
VapnekJM, HricakH, CarrollPR. Recent advances in imaging studies for staging of penile and urethral carcinoma. Urol Clin North Am, 1992; 19:257–266.
19.
DerksenJW, VisserO, de la RiviereGB, MeulemanEJ, HeldewegEA, LagerveldBW. Primary urethral carcinoma in females: An epidemiologic study on demographical factors, histological types, tumour stage and survival. World J Urol, 2013; 31:147–153.
20.
GheilerEL, TefilliMV, TiguertR, de OliveiraJG, PontesJE, WoodDPJr. Management of primary urethral cancer. Urology, 1998; 52:487–493.
21.
KarnesRJ, BreauRH, LightnerDJ. Surgery for urethral cancer. Urol Clin North Am, 2010; 37:445–457.
22.
BlaivasJG, FlisserAJ, BleusteinCB, PanagopoulosG. Periurethral masses: Etiology and diagnosis in a large series of women. Obstet and Gynecol, 2004; 103(5 Pt 1):842–847.
23.
TouijerAK, DalbagniG. Role of voided urine cytology in diagnosing primary urethral carcinoma. Urology, 2004; 63:33–35.
