Carcinoma de Uretra en una gestante: presentación de un caso / Urethral Carcinoma in a pregnant woman: a case report
Abstract
Paciente femenina de raza blanca, de 34 años de edad y 33 semanas de embarazo, acude al Cuerpo de Guardia del Hospital Clínico Quirúrgico "Abel Santamaría Cuadrado" en Pinar del Río, con sangrado genital cuando se le realiza el examen físico; se comprueba que sangra con facilidad a través del meato uretral, donde se observa que emerge una tumoración vascularizada situada en la uretra distal. Se realizan los exámenes complementarios e imagenológicos, los cuales se encuentran en rangos normales. Se realizó el tratamiento quirúrgico exéresis de la tumoración, electrofulguración y biopsia, resultando ser un carcinoma epidermoide moderadamente diferenciado, que infiltra la submucosa que fue completamente removido y cursó con evolución clínica satisfactoria. Actualmente está asintomática.
Palabras clave: carcinoma, uretra.
ABSTRACT
A 34 year-old white female patient with 33 weeks of pregnancy, attended to the Emergency Room at "Abel Santamaria Cuadrado" University Hospital in Pinar del Rio presenting genital bleeding at physical examination; corroborating ease bleeding through the meatus urethrae and observing the appearance of a vascularized tumor in the distal urethra. Complementary and imaging examinations were performed being in normal ranks. Surgical treatment was carried out removing the tumor, performing the electrofulguration and biopsy which resulted in a moderately differentiate epidermoid carcinoma, that infiltrated the submucosa, completely removed having the patient a clinical satisfactory progress, currently asymptomatic.
Key words: carcinoma, urethra.
Downloads
References
1. Srinivas V, Khan S. Female urethral cancer an overview. Int Urol Nephrol[revista en internet]. Dec. 1987[citado oct 2008]; 19(4):423-27. Disponible en: http://www.springerlink.com/content/m877051m5q172u1x/
2. Tiguert R, Ravery V, Madjar S, Gousse AE. Acute urinary retention secondary to clear cell carcinoma of the urethra. Prog Urol [revista en internet]. Febr. 2001[citado oct 2008]; 11(1):70-2. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/11296650
3. Sailer SL, Shipley WU, Wang CC. Carcinoma of the female urethra: a review of results with radiation therapy. J Urol. 1988[citado oct 2008];140:1. http://www.cancer.gov/espanol/pdq/tratamiento/uretra/HealthProfessional/allpages/print
4. Dalbagni G, Zhang ZF, Lacombe L, Herr HW. Female urethral carcinoma: an analysis of treatment outcome and a plea for a standardized management strategy. Br J Urol[revista en internet]. 1998 Dec[citado oct 2008]; 82(6):835-41. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/9883221
5. Terry P, Cookson M, Sarosdy M. Carcinoma of the urethra and scrotum. In: Raghvan D, Leibel SA, Scher HI, et al. Principles and practice of genitourinary oncology. Philadelphia: Lippincott-Raven. 2004:347.
6. Milosevic MF, Warde PR, Banerjee D, et al. Urethral carcinoma in women: results of treatment with primary radiotherapy. Radiother Oncol[revista en internet]. 2000 Jul[citado oct 2008]; 56(1):29-35. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/10869752
7. Narayan P, Konety B. Surgical treatment of female urethral carcinoma. Urol Clin North Am. 1992 May[citado oct 2008];19(2): 373-82. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/1574827
8-Johnson DE, O'Connell JR, Delclos L: Carcinoma of the urethra. In: Javadpour N, ed.: Principles and Management of Urologic Cancer.2nd ed. Baltimore, Md: Williams and Wilkins, 1983. Pp. 598-621.
9-National Kidney and Urologic Diseases Information Clearinghouse. Infecciones urinarias (Serie en Internet) 2002 (Consultado 2005 Nov 17). (aprox. 4 pantallas) Disponible en: http://kidney.niddk.nih.gov/spanish/pubs/uti_ez/
10-Nicolle LE. Asymptomatic bacteriuria in institutionalized elderly people: evidence and practice. CMAJ. August 8, 2000[citado oct 2008]; 163 (3): Disponible en: http://www.cmaj.ca/cgi/content/full/163/3/285
11-Warren J.W. Catheter-Associated urinary tract infections. Urinary tract infection. Inf Dis NA. 2005; 11(3):609-18.
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/