Korean J Urol.  2009 Jul;50(7):718-720.

Anterior Urethral Recurrence from an Upper Urinary Tract Urothelial Tumor

• Jung SI
• Chung HS
• Im CM
• Kim SO
• Kang TW
• Kwon DD
• Park K
• Ryu SB

Abstract

We report a case of a metachronous transitional cell carcinoma (TCC) of the penile urethra in an elderly male after nephroureterectomy. The patient had a history of right nephroureterectomy 18 months previously due to TCC of the upper urinary tract. A solitary urethral recurrence from a TCC of the upper urinary tract is rare. An anterior urethral recurrence of a TCC of the upper urinary tract has not been previously reported in the literature. The prognosis of a metachronous anterior urethral recurrence of an upper-tract TCC is poor.

Keyword

Transitional cell carcinoma; Urethra; Neoplasm metastasis

MeSH Terms

Aged
Carcinoma, Transitional Cell
Humans
Male
Neoplasm Metastasis
Prognosis
Recurrence
Urethra
Urinary Tract

Figure

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  Fig. 1 Magnetic resonance imaging. (A) Sagittal T1-weighted image with gadolinium administration demonstrates the urethral carcinoma (arrow head) replacing the penile urethra without local extension into the corpus cavernosum. (B) Coronal T1-weighted image with gadolinium administration shows an irregular, peripheral, enhanced penile urethral mass (arrow head).

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  Fig. 2 Gross finding. (A) Resected 9 cm anterior urethra. (B) Intraluminal protruding 3x1 cm mass in the penile urethra.

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