Touzani Mohammed Alae, Yddoussalah Othmane
Université Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Hopital Ibn Sina, Service d'Urologie B, Rabat, Maroc.
Pan Afr Med J. 2017 Aug 3;27:249. doi: 10.11604/pamj.2017.27.249.13260. eCollection 2017.
The incidence of female urethral cancer is rare and accounts for 0.02% of all women's cancers. It is dominated by epidermoid carcinoma, which most commonly develops in the distal portion of the urethra, extending to inguinal lymph nodes. The diagnosis is confirmed in the distal forms on the basis of uretrocystoscopy with biopsy. Abdominopelvic MRI allows to determine tumor extension as well as its infiltration into tissues and peri-urethral organs. As in superficial tumors of the distal urethra, simple circumferential resection of the urethra associated with resection of the adjacent portion of the anterior surface of the vagina is sufficient. We here report the case of a 59-year old diabetic and hypertensive female patient presenting for irritative lower urinary tract symptoms, associated with vulvar mass. Clinical examination showed mucosal ectropion extending from the urethral meatus associated with extensive local inflammation. The patient underwent wide excision of the ectropion which was diagnosed as squamous cell carcinoma. Abdominopelvic MRI was normal.
女性尿道癌的发病率很低，占所有女性癌症的0.02%。它以表皮样癌为主，最常见于尿道远端，可延伸至腹股沟淋巴结。根据经尿道膀胱镜检查及活检结果可确诊远端型尿道癌。腹盆腔磁共振成像（MRI）有助于确定肿瘤的扩展范围及其对周围组织和尿道周围器官的浸润情况。对于远端尿道的浅表肿瘤，单纯行尿道环形切除术并切除阴道前壁相邻部分就足够了。我们在此报告一例59岁的糖尿病和高血压女性患者，因刺激性下尿路症状就诊，伴有外阴肿物。临床检查发现尿道口黏膜外翻，伴有广泛局部炎症。患者接受了外翻组织广泛切除术，术后诊断为鳞状细胞癌。腹盆腔MRI检查结果正常。
