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Case Report
Primary urethral carcinoma mistaken as a caruncle: A case report
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
Message to Corresponding Author
Article ID: 100115Z08YC2022
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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
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Author Contributions
Yufan Brandon Chen - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sarah Bibby - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Chihiro Hirai-Adachi - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Shahab Hillyer - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors 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.
