病例報告-女性尿道腫瘤
林永健
馬來西亞 亞羅士打 仁愛專科醫藥中心 泌尿外科
Case report- Female urethral tumor
Eng-Kian Lim
Division of Urology, Putra Medical Centre, Alor Setar, Malaysia
Purpose: We reported 2 cases of female urethral tumor whom received surgical intervention in our hospital.
Case Presentation: Two cases of female urethral tumor were noted and treated in our hospital during Nov, 2014 to May, 2015. Case (1) was a 73 year old female patient with hypertension history. She visited our GYN and Uro OPD on Nov, 2014 and was noted of her right simple ovary cyst 5 X 5 cm by sono and meatus urethral tumor around 1.5 cm. Urine test disclosed: pyuria, proteinuria with microscopic hematuria (Bac: +, RBC: 5-10, WBC: 5-10, Pro: +). Lab data showed: anemia, hyponatremia, hyperuricemia, hyperlipidemia (Hb: 10.4, Na: 130, Uric acid: 383, cholesterol: 5.5). She received cystoscopy on 5/11/2014 and operation of excision of urethral tumor on 18/11/2014 under SA without consequence. Pathology revealed: benign urethral hemangioma. Case (2) was a 61 year old female patient with diabetic and hypertension history. She visited our GYN and Uro OPD on May, 2015 with complaints of vaginal protruding mass for 3 yrs. Further frequent urination and stress urinary incontinence were complained. She was admitted under the impression of 3rd degree of Uterine prolapse and meatus polypoid tumor. Urine test disclosed pyuria with microscopic hematuria and (Bac:+, RBC: trace). Lab data was normal. Kidney and bladder sono revealed negative. She received operation of vaginal hysterectomy with ant., post. repair with meatus urethral tumor excision on 24/5/2015 and was discharged on 25/5. The post operation course was smooth. The pathological report revealed non malignant uterus with meatus epithelial hyperplasia tumor.
Conclusion: Hemangioma is a relatively rare lesion in the genitourinary tract. In general, hemangiomas are benign vascular tumor. Twenty cases have been reported in literature. The lesion often extend further than is immediately apparent. Endoscopic management is recommended for small lesion and, in the case of more extensive lesions, open exploration is advised followed by appropriate urethral reconstruction. 1 Further, epithelial tumor represent approximately 80 % of all urinary tract tumors (Bladder and urethral). They including TCC, SCC; adenoma; papilloma; adenocarcinoma and undifferentiated carcinoma. 2 We herein reported 2 cases of benign urethral tumor treated with open excision method. Further clinical follow up is advised.