1.Primary Squamous Cell Carcinoma of the Female Urethra: A Case Report
Takahiro HIRAYAMA ; Tetsuo FUJITA ; Yoshiko TOKUYAMA ; Akio KAZAMA ; Noboru FUKUHARA ; Seigo TAKANO
Journal of the Japanese Association of Rural Medicine 2009;58(2):85-89
We report a case of female urethral cancer. A 67-year-old female complained of a pain in the left buttocks. Magnetic resonance imaging (MRI) revealed a urethral tumor, which invaded the bladder wall and left buttocks tissue. Transurethral resection was performed. Histopathological examinations revealed squamous cell carcinoma of the urethra. The case was diagnosed as stage D4 urethral cancer according to the Grabstald's classification. Radiotherapies with a total dose of 57.5 Gy were performed on the primary and invaded sites. However, she died 6 months after the radiotherapy.
Female
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seconds
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Carcinoma, Squamous Cell
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Procedures on Urethra
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Primary
2.A Case of Vesicorectal Fistula due to Progressive RectalCarcinoma Successfully Treated by Total Pelvic Exenteration
Yoshiko TOKUYAMA ; Tetsuo FUJITA ; Takahiro HIRAYAMA ; Tsunehisa MATSUSHITA ; Akio KAZAMA ; Seigo TAKANO
Journal of the Japanese Association of Rural Medicine 2010;58(6):694-698
A 55-year-old male complained about urinary frequency, micturition pain, and right abdominal pain. Ultrasonography, computed tomography, and magnetic resonance imaging revealed severe vesicorectal fistula which was induced by either bladder carcinoma or rectal carcinoma. Total pelvic exenteration was performed. Histopathological examination revealed rectal adenocarcinoma with invasion of the urinary bladder. Twelve months after the surgery, the patient exhibited no sign nor symptom of local recurrence or metastatic disease.