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Gaceta Médica Espirituana
On-line version ISSN 1608-8921
Abstract
MARIN VALLE, Katia et al. Macroscopic hematuria as an initial sign of primary urethral cancer. Case report. Gac Méd Espirit [online]. 2023, vol.25, n.2 Epub May 07, 2023. ISSN 1608-8921.
Background:
Primary urethral cancer is defined as a tumor whose first lesion is located in the urethra; is very uncommon, represents less than 1% of malignant tumors and 5% of malignant tumors of the urinary system. The extension of this process to the prostate gland creates obstructive and irritative urinary symptoms and acute conditions such as macroscopic hematuria.
Objective:
To present the case of a patient with primary urethral carcinoma in its urothelial variety with macroscopic hematuria as clinical presentation.
Case presentation:
Clinical case of a 75-year-old male patient, with macroscopic hematuria as a clinical presentation of primary cancer of the urethra in its urothelial variety, diagnosed anatomopathologically during the hematuria study.
Conclusions:
The case presented alerts the scientific community that the diagnosis of primary urethral cancer should be considered in patients with macroscopic hematuria in the absence of obstructive or irritative urologic manifestations, although it is a rare sign as clinical presentation of this disease.
Keywords : Primary urethral cancer; urothelial carcinoma; prostate; urethra; hematuria; urethral neoplasms; urologic neoplasms.