Female primary urethral carcinoma: A rare case report
Mochammad Ecky Pratama1, Jufriady Ismy2, Reno Kamarlis3
1Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran, Jl. Pasteur No. 38, Bandung, Jawa Barat 40161, Indonesia.
International Journal of Surgery Case Reports
|July 26, 2021
Summary
Female urethral carcinoma is rare, often diagnosed late, leading to poor outcomes. Early diagnosis and radical surgery are crucial for better results in this uncommon malignancy.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Primary female urethral tumors are rare (<0.02% of cancers in women).
- Late presentation is common, resulting in poor prognosis.
- Distal urethral tumors have better outcomes if detected early.
Purpose of the Study:
- To highlight the rarity and diagnostic challenges of female urethral carcinoma.
- To present a case of female urethral carcinoma for knowledge dissemination.
- To emphasize the importance of early diagnosis and surgical management.
Main Methods:
- Case report of a 76-year-old woman with urethral carcinoma.
- Clinical presentation: pelvic pain, urinary symptoms, hematuria.
- Diagnostic tools: physical examination, urinalysis, urethrocystoscopy, histopathology (squamous cell carcinoma, clear cell carcinoma).
Main Results:
- The patient presented with advanced symptoms and a fragile, bleeding urethral mass.
- Histopathology confirmed squamous cell and clear cell carcinoma.
- The patient is planned for anterior pelvic exenteration (cystouretherectomy).
Conclusions:
- Female urethral carcinoma requires high clinical suspicion for timely diagnosis.
- Early radical surgery offers improved outcomes, though treatment remains debated.
- Dissemination of knowledge through case reports is vital due to low prevalence.
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