Adenocarcinoma arising in a urethral diverticulum
Presentation
Patient with pain and difficulty urinating.
Patient Data
Age: 42
Gender: Female
From the case:
Adenocarcinoma arising in a urethral diverticulum
MRI
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Axial T2
Vaginal contrast was used for this study.
Axial and coronal MR images of the pelvis demonstrate a circumferential mass around the urethra with extension into the posterolateral anterior vaginal wall. Additionally, superior extension into the bladder base is best seen on the coronal images.
Also note the abnormal T2 signal above and below the mass in the periuretheral regions suggesting a uretheral diverticulum.
Case Discussion
This case is an opportunity to review periurethral mass lesions:
Differential Considerations
- carcinoma arising from uretheral diverticulum
- vaginal carcinoma
- vaginal metastasis
Diagnosis
Adenocarcinoma arising from a urethral diverticulum
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