Urethral metastasis from a colon carcinoma

Urology. 2007 Mar;69(3):575.e1-3. doi: 10.1016/j.urology.2006.12.029.

Abstract

Urethral metastatic adenocarcinoma is rare. Only 9 such cases have been reported. We report a case of urethral metastasis from an ascending colonic adenocarcinoma. A 62-year-old man was diagnosed with Stage T4N0M0 ascending colon cancer. In September 2001, he underwent right hemicolectomy. In April 2004, he developed intermittent gross hematuria. Urethroscopy showed an exophytic tumor in the urethra, and biopsy revealed adenocarcinoma. Partial penectomy was performed. The pathologic examination showed moderately differentiated adenocarcinoma of the urethra consistent with the colonic primary. We describe the pathologic findings and immunohistochemical features of this case and briefly review the published reports.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / metabolism
  • Adenocarcinoma / secondary*
  • Carcinoembryonic Antigen / blood
  • Colectomy
  • Colonic Neoplasms / diagnosis
  • Colonic Neoplasms / pathology*
  • Colonic Neoplasms / surgery
  • Hematuria / etiology
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Ureteroscopy
  • Urethral Neoplasms / complications
  • Urethral Neoplasms / metabolism
  • Urethral Neoplasms / secondary*

Substances

  • Carcinoembryonic Antigen