Klemann Nina, Toft Birgitte Grønkjær, Thind Peter
Urologisk Afdeling, Rigshospitalet, Blegdamsvej 9, 2100 København Ø.
Ugeskr Laeger. 2014 Jan 20;176(4A):V07130435.
Primary cancer of the urethra is a rare condition with symptoms ranging from haematuria, urethral obstruction and pelvic pain to urethrocutaneous fistula and abscess. Magnetic resonance imaging (MRI) is considered first choice of diagnostic imaging, but experience with treatment is scarce. We present a case of a 69-year-old woman with a one-year history of urinary obstruction. MRI revealed a tumour surrounding the urethra, and biopsies showed adenocarcinoma in situ. Surgery with removal of the bladder, urethra, internal genitals and lymph nodes revealed a periurethral cyst with both adenocarcinoma in situ and focal adenocarcinoma.
原发性尿道癌是一种罕见疾病，症状包括血尿、尿道梗阻、盆腔疼痛，以及尿道皮肤瘘和脓肿。磁共振成像（MRI）被认为是诊断成像的首选，但治疗经验较少。我们报告一例69岁女性，有一年的尿路梗阻病史。MRI显示尿道周围有肿瘤，活检显示原位腺癌。手术切除膀胱、尿道、内生殖器和淋巴结后发现一个尿道周围囊肿，伴有原位腺癌和局灶性腺癌。
