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Case Reports
. 2020 Apr 3:32:101164.
doi: 10.1016/j.eucr.2020.101164. eCollection 2020 Sep.

Clear cell carcinoma in a urethral diverticulum

Emer Hatem  1 , Arun Sahai  1 , Sachin Malde  1
Affiliations
Case Reports

Clear cell carcinoma in a urethral diverticulum

Emer Hatem et al. Urol Case Rep. .

Abstract

A 54-year-old female presented with a long history of multi-drug-resistant urinary tract infections, urinary urgency and frequency, haematuria, stress urinary incontinence and difficulty voiding. Examination revealed a large, hard anterior vaginal wall mass with purulent discharge. Investigation with MRI demonstrated a complex urethral diverticulum containing stones with fistulation into the vagina. Drainage of the abscess and excision biopsy of the diverticulum revealed clear cell carcinoma. She therefore underwent completion urethrectomy, bladder neck closure and Yang-Monti urinary diversion - a positive tumour margin led to resultant cystectomy and ileal conduit.

Keywords: Cancer; Carcinoma; Infection; Malignancy; Urethral diverticulum; Urethrectomy.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Large, multiloculated urethral diverticulum (red arrow) with fistulation into the anterior vaginal wall.
Fig. 2
Fig. 2
Axial MRI showing circuferential urethral diverticulum (red arrow).
See this image and copyright information in PMC

References

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