Revista de Ciencias Médicas de Pinar del Río (Sep 2010)
Satisfactoria evolución y sobrevida en una paciente portadora del carcinoma uretral A satisfactory progress and survival in a female patient suffering from urethral carcinoma. a case report
Abstract
Se presenta un caso de una paciente femenina de la raza blanca, de 34 años de edad, con antecedentes de sepsis urinaria baja a recurrente, acude a la consulta externa del Hospital General Docente Abel Santamaría Cuadrado, sintiendo un ardor y dolor al orinar, disminución en el calibre del chorro de la orina, pujos y tenesmo vesical. Al examen físico se comprueba un tumor que emerge través del meato uretral, vascularizada color rojo violáceo, situada en la uretra anterior. Se realizan los exámenes complementarios e imageneológicos, los cuales se encuentran en los rangos del valor normal. Se realiza un tratamiento quirúrgico (exéresis de la tumoración, electrofulguración) y biopsia, resultando ser un carcinoma transcicional micro invasor con invasión linfática, completamente removido, y evolución clínica satisfactoria actualmente curada.A 34 year-old, Caucasian-female patient presenting a recurrent, low urinary sepsis came to the out-patient clinic at "Abel Santamaria Cuadrado" University Hospital complaining of burning and pain during the passing of urine, a diminution of urine stream and vesical tenesmus. At physical examination a tumor emerging from the urethral meatus was observed, having a red-purplish vascularization located in the anterior urethra. Complementary tests and imaging examinations were performed which ranges showed normal values. Surgical treatment (removal of the tumor and electro- fulguration) and a biopsy were performed which resulted in a micro-invasive transitional carcinoma having a lymphatic invasion completely removed, the patient showed a satisfactory clinical progress, currently cured.
