Management of adenocarcinoma of the female urethra: case report and brief review.
BACKGROUND
We present a case of a differentiated adenocarcinoma of the female urethra, which caused dysuria and voiding dysfunction.


METHODS
A 54-year-old female presented with dysuria and the sensation of incomplete voiding.


RESULTS
An ultrasound-guided biopsy showed a urethral carcinoma. A magnetic resonance imaging (MRI) scan showed a high-stage tumor. The patient had a pelvic exenteration. The patient was free of disease after 2 years of follow up.


CONCLUSIONS
Urethral carcinoma is a rare malignancy. A biopsy is necessary to make a diagnosis. MRI is the best imaging for tumor staging. Small tumors are treated with a single modality option including sparing surgery or radiotherapy. Advanced disease should be treated with a multimodality of options including neoadjuvant radiotherapy given concomitantly with chemotherapy followed by surgery.
Department of Urology, Bichat University Hospital, Paris, France.
Idir
I
Ouzaid
Jean-François
JF
Hermieu
Sébastien
S
Dominique
Pedro
P
Fernandez
Laurence
L
Choudat
Vincent
V
Ravery
D000230:Adenocarcinoma / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010385:Pelvic Exenteration; D016896:Treatment Outcome; D014523:Urethral Neoplasms / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects