Résumé
Primary endometrioid adenocarcinoma developed at urethrovaginal septum has not been reported. A 61-yr-old woman presented with recurrent urinary tract infection. She had received hormone replacement treatment with estrogen and progesterone for 5 yr. A pinpoint ulceration at slightly elevated anterior vaginal wall was found and biopsy revealed endometrioid adenocarcinoma. Magnetic resonance imaging showed the 4.3 cm sized mass in urethrovaginal septum. She has undergone anterior pelvic exenteration, pelvic lymph node dissection, and urostomy with ileal conduit. Microscopic finding of the pathology revealed endometrioid adenocarcinoma. Co-existence of endometriosis was not identified. Tumor at urethrovaginal septum was difficult to be detected till growing to be bulky, because of vaginal axis, misunderstanding of the tumor as symphysis pubis, no definitive symptom, and its rarity. This is the first reported case of extraovarian endometrioid adenocarcinoma developed at the urethrovaginal septum. Understanding normal functional anatomy and meticulous physical examination are essential to detect this rare tumor in the urethrovaginal septum.
Sujets)
Femelle , Humains , Adulte d'âge moyen , Carcinome endométrioïde/diagnostic , Diagnostic différentiel , Tumeurs de l'endomètre/diagnostic , Imagerie par résonance magnétique , Tumeurs de l'urètre/diagnostic , Tumeurs du vagin/diagnosticRésumé
Leiomyoma is rare. Most of patients present with urinary tract infection, hematuria, dyspareunia, or complaint of mass. A case of leiomyoma on urethrovaginal septum in a 36 years old female was presented. The presenting symptom was a protruding mass at the anterior vaginal wall The mass was removed surgically and confirmed as a leiomyoma pathologically.
Sujets)
Adulte , Femelle , Humains , Dyspareunie , Hématurie , Léiomyome , Infections urinairesRésumé
Leiomyoma of the urethrovaginal septum is rare condition. There are only 14 documented cases of leiomyoma of the female urethra and less than 250 cases of leiomyoma of the vagina in the literature. The physical and cystoscopic features are helpful in establishing the benign nature and the extent of the lesions. This report describes two cases of leiomyoma of the urethrovaginal septum that were confirmed pathologically at our Severance Hospital.