病例報告：以尿道出血為臨床表現之膀胱腫瘤

羅偉恩、謝啟誠、王曉暹、蔡昇翰、黃家倫、楊景偉、陳光國、張心湜

振興醫療財團法人振興醫院泌尿部

Case Report: Bladder Tumor Presented with Urethral Bleeding

Wei-En Luo, Chieh-Chen Hsieh, Hsiao-Hsian Wang, Sheng-Han Tsai, Chia-Lun Huang, Chin-Wei Yang, Kuang-Kuo Chen, Luke S. Chang

Department of Urology, Cheng Hsin General Hospital, Taipei, Taiwan

Case presentation: 

This is a case of a sixty-year-old male suffered from intermittent painless urethral acute bleeding with gross hematuria for one week. At urology clinic, the bleeding could be controlled by penile compression. Cystoscopy revealed a tubular papillary tumor at right lateral wall of bladder migrating to penile urethra with active bleeding. Under the impression of urothelial cell carcinoma of bladder, the patient received transurethral En Bloc resection of bladder tumor. The pathology reported non-invasive low grade papillary urothelial carcinoma. The patient recovered well after the operation and had regular follow up at our outpatient department. Cystoscopy will be performed after three months postoperatively.

Discussion:

Urothelial carcinoma is the most common type of bladder cancer and rarely presented with urethra bleeding. Primary urethral cancer is also rare but highly aggressive malignancy that causes malignant urethral obstruction.

Symptoms includes hematuria, dysuria, frequency, nocturia. Early stage of bladder cancer is most often treated with transurethral resection of bladder tumor followed by intravesical chemotherapy. In our case, we presented a sixty-year-old male suffered from bladder urothelial carcinoma with intermittent urethral bleeding. Transurethral resection of bladder tumor was performed and further cystoscopy will be arranged.