原発性男性尿道腺癌の1例

PRIMARY ADENOCARCINOMA OF THE MALE URETHRA:A CASE REPORT

　62歳，男性．主訴は排尿時痛と肉眼的血尿で性病，外傷などの既往はない．尿細胞診および内視鏡検査にて尿道腫瘍が疑われ，組織診断をかねてTURを施行した，病理組織所見は乳頭状腺癌であった．術後15ヵ月再発を認めていない．尿細胞診は尿道腫瘍の早期診断，経過観察にも有用な手段である．なお，本症例は原発性男性尿道腺癌としては本邦18例目にあたる．

A 62-year-old male who complained of miction pain and macroscopic hematuria was admitted to our hospital in September 1989.Urinary cytology showed class III, suspecting urinary tract tumors. Cystourethros-copic examination revealed stalked papillary tumors on the prostatic urethra at 4 to 8 o'clock in the length of 1 cm. The patient had no past history of gonorrhea and urethral injury. Transurethral resection was performed and pathological diagnosis was primary urethral adenocarcinoma invading shallow muscle layer.