Open Access

CASE REPORT

Management of adenocarcinoma of the female urethra: case report and brief review

Idir Ouzaid¹, Jean-François Hermieu¹, Sébastien Dominique¹, Pedro Fernandez², Laurence Choudat³, Vincent Ravery¹

1 Department of Urology, Bichat University Hospital, Paris, France
2 Department of Radiology, Bichat University Hospital, Paris, France
3 Department of Pathology, Bichat University Hospital, Paris, France
Address correspondence to Dr. Idir Ouzaid, Department of Urology, Bichat University Hospital, 46 rue Henri Huchard, 75018 Paris, France

Canadian Journal of Urology 2010, 17(5), 5405-5407.

Abstract

Introduction: We present a case of a differentiated adenocarcinoma of the female urethra, which caused dysuria and voiding dysfunction.
Materials and methods: A 54-year-old female presented with dysuria and the sensation of incomplete voiding.
Results: An ultrasound-guided biopsy showed a urethral carcinoma. A magnetic resonance imaging (MRI) scan showed a high-stage tumor. The patient had a pelvic exenteration. The patient was free of disease after 2 years of follow up.
Conclusion: Urethral carcinoma is a rare malignancy. A biopsy is necessary to make a diagnosis. MRI is the best imaging for tumor staging. Small tumors are treated with a single modality option including sparing surgery or radiotherapy. Advanced disease should be treated with a multimodality of options including neoadjuvant radiotherapy given concomitantly with chemotherapy followed by surgery.

---

Keywords

---