A urethral caruncle is a benign fleshy outgrowth of the posterior urethral meatus. It is the most common lesion of the female urethra and occurs primarily in postmenopausal women. The lesion is typically asymptomatic, although some women present with vaginal bleeding. This topic will discuss the clinical presentation, diagnosis, and management of urethral caruncles in adults.
2012-09-01 · Urethral caruncle is a benign polypoid lesion, occurring at the urethral meatus primarily in postmenopausal females and much less commonly in males and prepubertal females . A conclusive association with malignancy, other urologic disorder, or systemic disease has not been established [2] ; however, the etiology and pathogenesis of urethral caruncle are not well understood.
Refractory or large caruncles and caruncles with un-usual Six urethral caruncles in women aged 32 to 82 (average, 56) years contained atypical stromal cells raising concern for a neoplasm. The atypical cells varied from spindled to round, the latter predominating, and typically had scant cytoplasm. A minority of the cells were binucleated or multinucleated and often Mucinous Adenocarcinoma of the Urinary Bladder Type Arising in the Prostatic Urethra. Distinction from Mucinous Adenocarcinoma of the Prostate .
Axial (a) and sagittal (b) T2-weighted MR images obtained with a pelvic coil demonstrate a high-signal-intensity cuff (arrows) surrounding the external urethral meatus. At pathologic analysis, the lesion proved to be a urethral caruncle. They are stalk-like and hang from part of the urethra. Caruncles are more common in women who don’t use hormone therapy replacement (HRT) after menopause. They are often discovered during a medical exam for another health problem. Overall, they are not a common condition. Symptoms.
Lined by prostatic epithelium that may alternate with transitional epithelium. Differential diagnosis: prostatic ductal carcinoma 2018-03-12 · The urethral caruncle is a benign tumor or lesion that arises at the opening, or rather at the lip of the urethra, in females They are usually small, but can grow up to 2-3 cm in diameter Rarely, these have been observed in males, as well What part of the Body does the Procedure involve? Urethral caruncles are the commonest tumour to occur in the female urethra.
Urethral caruncle is a benign fleshy outgrowth at the urethral meatus that occurs mainly at posterior lip of urethra and is most commonly seen in postmenopausal women.
Bleeds easily, may become infected. Urethral caruncle is a benign polypoid mass of the urethral meatus in primarily postmenopausal women.
Primary malignant urethral tumors in women can mimic common benign urethral lesions clinically and are sometimes found unexpectedly in surgical specimens excised with a preoperative diagnosis of urethral diverticulum or urethral caruncle (Fig. 14.13).
A urethral caruncle is a benign cutaneous condition characterized by distal urethral lesions that are most commonly found in post-menopausal women. They appear red, and can be various sizes. They can have the appearance of a tumor. These epidermal growths are found around the posterior portion of the urethral meatus. The first step in the development of a urethral caruncle is likely distal urethral prolapse caused by urogenital atrophy due to estrogen deficiency.
Although a conclusive association with malignancy, urologic disorder, or systemic disease has not been established, often the lesion carries a challenging clinical differential diagnosis that includes malignancy. A urethral caruncle is a benign fleshy outgrowth of the posterior urethral meatus. It is the most common lesion of the female urethra and occurs primarily in postmenopausal women. The lesion is typically asymptomatic, although some women present with vaginal bleeding. This topic will discuss the clinical presentation, diagnosis, and management of urethral caruncles in adults.
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It represents the most common lesion of the female urethra and occurs primarily in postmenopausal women. Most cases are asymptomatic, but sometimes, patients feel a lump or bleeding at the urethral meatus.
Chapter 16 - Pathology of the Prostatic Urethra. Urethral Caruncle: A Lesion Related to IgG4-associated Sclerosing
Urethral Caruncle. Urethral caruncles are small benign lesions of the posterior margin of the external urethral meatus that are caused by distal urethral prolapse in hypoestrogenic postmenopausal women . Histologic examination of a caruncle reveals hyperplastic squamous epithelium with submucosal vascularity, fibrosis, and inflammation .
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Urethral Caruncle Resection
2020-11-02 · Urethral caruncle with atypical stromal cells simulating lymphoma or sarcoma--a distinctive pseudoneoplastic lesion of females. A report of six cases.
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Microscopically, the squamous epithelium, which covered the urethral caruncle, was Kurmann R. Blaustein's pathology of the female genital tract. 3rd edition.
Hearsecloth Galant urethra. 770-383-2641. Embryopathology A3m3.
Colonic mucosa‐like intestinal heterotopia in a urethral caruncle is reported in a 2 yr 7 mth old girl and three women; 55, 71 and 78 yrs old. The occurrence of the anomaly in a child supports the first two author's earlier suggestion that the condition is congenital in nature.
If the caruncle is large or causes problems, your urologist may remove it and burn its base.
Urethral caruncles are considered as benign tumors. They need to be treated surgically; specimens should carefully be evaluated for the presence of any malignancy. We are presenting a 57-year-old female patient with a urethral lesion that looks like caruncle, but histopathologic examination of the excised lesion was reported as urethral adenocarcinoma. the urethral caruncle or urethral carcinoma resembling a urethral caruncle has only been occasionally reported. The patient’s condition should therefore, be carefully monitored when using conservative therapy for the management of urethral caruncle. Refractory or … These lesions include caruncle, prostatic-type polyp, fibroepithelial polyp, syringocele (Cowper gland cyst), and Skene gland cyst. Urethral stricture is another lesion with relatively high frequency, a wide spectrum of etiologies and pathology findings, which are summarized in this chapter.