Hanna Bishoy, Hanna Amir, Wines Michael
Northern Beaches Hospital, 105 Frenchs Forest Rd W, Frenchs Forest, NSW, 2086, Australia.
Department of Obstetrics and Gynaecology, Sydney Adventist Hospital, 185 Fox Valley Rd, Wahroonga, NSW, 2076, Australia.
Urol Case Rep. 2020 Jan 9;30:101114. doi: 10.1016/j.eucr.2020.101114. eCollection 2020 May.
A 66-year-old female presented with a urethral caruncle. Histological features of incomplete intestinal metaplasia were reported. Only five previous cases of intestinal metaplasia in urethral caruncles have been reported. The mechanism of this tissue transformation remains unclear but theorised aetiologies include embryological and infective causes. Intestinal metaplasia carries a malignant potential in other organs, most notably the bladder. Therefore we recommend urethral caruncles be completely excised with prolonged follow up for atypical variants.
一名66岁女性因尿道肉阜就诊。报告显示有不完全肠化生的组织学特征。此前仅报道过5例尿道肉阜发生肠化生的病例。这种组织转化的机制尚不清楚，但推测的病因包括胚胎学和感染性原因。肠化生在其他器官，最显著的是膀胱，具有恶变潜能。因此，我们建议将尿道肉阜完整切除，并对非典型变体进行长期随访。
