Case Report


Primary urethral carcinoma mistaken as a caruncle: A case report

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1 Department of Obstetrics and Gynecology, Kern Medical, Bakersfield, California, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

2 Ross University School of Medicine, St. Michael, Barbados

3 Department of Obstetrics and Gynecology, Kern Medical, Bakersfield, California, USA

4 Department of Urology, Kern Medical, Bakersfield, California, USA

Address correspondence to:

Yufan Brandon Chen

9330 Stockdale Hwy #400, Bakersfield, CA 93311,

USA

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Article ID: 100115Z08YC2022

doi: 10.5348/100115Z08YC2022CR

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How to cite this article

Chen YB, Bibby S, Hirai-Adachi C, Hillyer S. Primary urethral carcinoma mistaken as a caruncle: A case report. J Case Rep Images Obstet Gynecol 2022;8:100115Z08YC2022.

ABSTRACT


Introduction: Urethral caruncles are the most common benign urethral lesion in females, especially in post-menopausal women. In rare cases, primary urethral carcinoma can develop from a caruncle.

Case Report: We present a case of primary urethral carcinoma in a patient who presented with urethral tenderness and what appeared to be a benign urethral caruncle. After failing conservative therapy, she underwent excision of the lesion, which revealed moderately differentiated invasive squamous cell carcinoma. She then underwent excision of the distal urethra and anterior vaginal wall. No residual disease was discovered and she recovered well without symptoms of stress urinary incontinence.

Conclusion: Excision of a urethral caruncle is indicated in a symptomatic patient not responding to conservative therapy in order to rule out an underlying malignancy.

Keywords: Cancer, Caruncle, Dysuria, Urethra

SUPPORTING INFORMATION


Author Contributions

Yufan Brandon Chen - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sarah Bibby - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published

Chihiro Hirai-Adachi - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Shahab Hillyer - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Yufan Brandon Chen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.