Clear cell adenocarcinoma of the male urethra: a case report

Background Primary urethral cancer in males is rare. Clear cell adenocarcinoma is more rare. We report a case in an African male suspected to have a urethral stricture. Case presentation A 66-year-old man presented in with preceding intermittent haematuria and acute urinary retention. Failed attempt...

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Bibliographic Details
Published in:African journal of urology 2022-12, Vol.28 (1), p.1-5, Article 29
Main Authors: Adebayo, Sikiru A., Chibuzo, Ijeoma N. C., Takure, Augustine O., Ifeh, Marcus O., Adeoye, Adewunmi O., Omenai, Sebastian A., Shittu, Olayiwola B.
Format: Article
Language:English
Subjects:
Adenocarcinoma
Case Reports
Catheterization
Clear cell adenocarcinoma
Development and progression
Diagnosis
Imaging
Male urethral cancers
Medicine
Medicine & Public Health
Primary urethral cancer
Radiology
Surgery
Urology
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Summary:Background Primary urethral cancer in males is rare. Clear cell adenocarcinoma is more rare. We report a case in an African male suspected to have a urethral stricture. Case presentation A 66-year-old man presented in with preceding intermittent haematuria and acute urinary retention. Failed attempts at catheterisation necessitating a suprapubic catheter insertion raised the suspicion of a urethral stricture. Multiple irregular urethral filling defects were seen on a retrograde urethrogram. Urethroscopy revealed obstructing urethral masses. Histology reported clear cell adenocarcinoma. Conclusion Primary urethral cancer should be entertained as a differential diagnosis of a urethral stricture in a patient with haematuria, difficult urethral catheterisation and ambiguous urethrogram findings. Cystoscopy and biopsy are essential in the investigative work-up to make the distinction.
ISSN:1110-5704
1961-9987
DOI:10.1186/s12301-022-00296-5