女性尿道腺癌の1例

The female urethral adenocarcinoma:A case report

　症例は44歳，女性。主訴は排尿困難であった。小児用膀胱鏡検査による検査では，内尿道口6時から尿道にかけて粘膜の不整像を認めた。生検の結果，中分化型線癌の診断を得たため尿道原発腺癌の診断にて膀胱尿道全摘除術，子宮腟前壁合併切除および回腸導管造設術を施行した。病理組織診断ではCEA陽性の尿道原発中分化型腺癌と診断された。術後補助療法は，ECF療法を行った。

A 44-year-old female was referred to our hospital with the chief complaint of difficult urination. Cystoscopic examination disclosed irregular mucosa of the urethra at 6 O'clock. Pathological diagnosis was moderately-differ-enciated adenocarcinoma. MRI showed a high intensity mass on T2 weighted image. Total cystectomy and ileal conduit formation was performed. Pathological and histo-chemical studies of the surgical specimen revealed mod-erately-differenciated adenocarcinoma which was posi-tive for carcinoembryonic antigen (CEA). She under-went adjuvant chemotherapy with EPI, CDDP and 5-FU.