Female urethral adenocarcinoma with a heterogeneous phenotype: Case report


Source: Apmis, Volume 114, Number 4, April 2006 , pp. 314-318(5)

Publisher: Wiley-Blackwell

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Kuroda N, Shiotsu T, Ohara M, Hirouchi T, Mizuno K, Miyazaki E. Female urethral adenocarcinoma with a heterogeneous phenotype. APMIS 2006;114:314–8.

We here report a very rare case of female urethral adenocarcinoma. A 77-year-old woman presented with urinary retention. Cystoscopy showed a urethral tumor and the biopsy material showed adenocarcinoma. Macroscopically, the tumor measuring 3.0×3.0×2.4 cm was predominantly observed around the periurethral area on the proximal side. Histologically, patterns of columnar/mucinous adenocarcinoma, clear cell adenocarcinoma and papillary/micropapillary carcinoma were observed, but there was no evidence of a cribriform pattern. Immunohistochemically, neoplastic cells of at least one of three components were positive for CK7 and CK20 or CA125. We suggest that female urethral adenocarcinoma with a histologically and immunohistochemically heterogeneous phenotype may originate from cells within urethral or paraurethral tissue, such as urethritis glandularis or intestinal metaplastic epithelium and Mullerian tissue.

Keywords: Female urethral adenocarcinoma; heterogeneous phenotype; histogenesis

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1600-0463.2006.apm_345.x

Affiliations: 1: Urology, Kochi Red Cross Hospital, Kochi and 2: Pathology and Laboratory Medicine and 3: Department of Pathology, Program of Bioregulation and Genetics, Kochi Medical School, Kochi University, Kochi, Japan

Publication date: April 1, 2006

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