Urethral caruncle with intestinal metaplasia: A case report and literature review

Bishoy Hanna; Amir Hanna; Michael Wines

doi:10.1016/j.eucr.2020.101114

Urethral caruncle with intestinal metaplasia: A case report and literature review

Urol Case Rep. 2020 Jan 9:30:101114. doi: 10.1016/j.eucr.2020.101114. eCollection 2020 May.

Authors

Bishoy Hanna¹, Amir Hanna², Michael Wines³

Affiliations

¹ Northern Beaches Hospital, 105 Frenchs Forest Rd W, Frenchs Forest, NSW, 2086, Australia.
² Department of Obstetrics and Gynaecology, Sydney Adventist Hospital, 185 Fox Valley Rd, Wahroonga, NSW, 2076, Australia.
³ Department of Urology, Royal North Shore Hospital, Reserve Rd, St Leonards, NSW, 2065, Australia.

Abstract

A 66-year-old female presented with a urethral caruncle. Histological features of incomplete intestinal metaplasia were reported. Only five previous cases of intestinal metaplasia in urethral caruncles have been reported. The mechanism of this tissue transformation remains unclear but theorised aetiologies include embryological and infective causes. Intestinal metaplasia carries a malignant potential in other organs, most notably the bladder. Therefore we recommend urethral caruncles be completely excised with prolonged follow up for atypical variants.

Keywords: Intestinal metaplasia; Pre-malignant; Urethral caruncle.

Publication types

Case Reports