Paighan Nitin Madanrao, Goel Hemant Kumar, Makkar Arun
Department of Urology and Renal Transplantation, ABVIMS and Dr. RML Hospital, New Delhi, India.
Indian J Urol. 2024 Jul-Sep;40(3):197-199. doi: 10.4103/iju.iju_106_24. Epub 2024 Jul 1.
Primary urethral cancer is a rare condition often manifesting in the sixth decade of life and is typically associated with urethral stricture disease. A 65-year-old male, a known case of stricture urethra, underwent perineal urethrostomy 10 years back. He presented with a growth at the urethrostomy site and the biopsy revealed squamous cell carcinoma. Magnetic resonance imaging of the pelvis revealed that the lesion extended into the penile and prostatic urethra with possible involvement of the corpus spongiosum, bulbospongiosus, and the bladder neck. Radical cystectomy, penectomy, scrotectomy, and bilateral orchiectomy with ileal conduit were performed. At 18-months of follow-up, the patient is recurrence-free.
原发性尿道癌是一种罕见疾病，常出现在60岁左右，通常与尿道狭窄疾病相关。一名65岁男性，已知患有尿道狭窄，10年前接受了会阴尿道造口术。他在尿道造口部位出现肿物，活检显示为鳞状细胞癌。骨盆磁共振成像显示病变延伸至阴茎尿道和前列腺尿道，可能累及海绵体、球海绵体肌和膀胱颈。遂进行了根治性膀胱切除术、阴茎切除术、阴囊切除术、双侧睾丸切除术并留置回肠导管。随访18个月时，患者无复发。
