Ouzaid Idir, Hermieu Jean-François, Dominique Sébastien, Fernandez Pedro, Choudat Laurence, Ravery Vincent
Department of Urology, Bichat University Hospital, Paris, France.
Can J Urol. 2010 Oct;17(5):5404-7.
We present a case of a differentiated adenocarcinoma of the female urethra, which caused dysuria and voiding dysfunction.
A 54-year-old female presented with dysuria and the sensation of incomplete voiding.
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.
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.
我们报告一例女性尿道分化型腺癌病例，该病例导致排尿困难和排尿功能障碍。
一名54岁女性出现排尿困难和排尿不尽感。
超声引导下活检显示为尿道癌。磁共振成像（MRI）扫描显示为晚期肿瘤。患者接受了盆腔脏器清除术。随访2年后患者无疾病复发。
尿道癌是一种罕见的恶性肿瘤。活检对于确诊是必要的。MRI是肿瘤分期的最佳影像学检查。小肿瘤采用单一治疗方式，包括保留性手术或放疗。晚期疾病应采用多模式治疗方案，包括新辅助放疗联合化疗，然后进行手术。
