Johnson Samantha, Turner Caitlin, Lachmayr Hannah, Killorin Wylly
Medical School, Mercer University School of Medicine, Columbus, USA.
Medical School, Mercer University School of Medicine, Savannah, USA.
Cureus. 2024 Sep 25;16(9):e70203. doi: 10.7759/cureus.70203. eCollection 2024 Sep.
This report describes a novel case of urethral adenocarcinoma in situ with enteric (gastric-type) differentiation in a 74-year-old female presenting with recurrent urinary tract infections and obstructive urinary symptoms. Magnetic resonance imaging (MRI) revealed a urethral diverticulum (UD), and a diverticulectomy was performed. Pathology from samples obtained during this operation revealed this rare subtype of malignancy. Our case highlights the importance of considering a broad differential diagnosis, even in patients with atypical presentations, and the need for further research to optimize the detection and treatment of this disease.
本报告描述了一例74岁女性原位尿道腺癌伴肠化生（胃型）分化的罕见病例，该患者表现为复发性尿路感染和梗阻性尿路症状。磁共振成像（MRI）显示尿道憩室（UD），遂行憩室切除术。手术中获取样本的病理检查发现了这种罕见的恶性肿瘤亚型。我们的病例强调了即使对于表现不典型的患者也需考虑广泛鉴别诊断的重要性，以及进一步开展研究以优化该疾病检测和治疗的必要性。
