Urethral caruncle: Difference between revisions

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#redirect [[Genitourinary_pathology#Urethral_caruncle]]
'''Urethral caruncle''' is a rare benign pathology of the [[urethra]].
 
==General==
*Definition as per ''Genitourinary Pathology'' by Zhou:<ref name=GUP457>{{Ref GUP|457}}</ref> polypoid lesion of the distal urethra in women that ought to have lamina propria inflammation.
 
*Benign.
*Typically in post-menopausal women.
*Reported in men.<ref name=pmid19125457>{{Cite journal  | last1 = Sriprasad | first1 = S. | last2 = Kooiman | first2 = GG. | last3 = Hopster | first3 = D. | last4 = Muir | first4 = GH. | title = Urethral caruncle in a man. | journal = BJU Int | volume = 92 Suppl 3 | issue =  | pages = e68 | month = Dec | year = 2003 | doi =  | PMID = 19125457 }}</ref>
 
Clinical:<ref>URL: [http://www.riversideonline.com/health_reference/Questions-Answers/AN01214.cfm http://www.riversideonline.com/health_reference/Questions-Answers/AN01214.cfm]. Accessed on: 3 February 2012.</ref>
*+/-Dysuria.
*+/-Hematuria.
 
==Microscopic==
Features:<ref name=pmid8397932>{{Cite journal  | last1 = Kim | first1 = KK. | last2 = Sin | first2 = DY. | last3 = Park | first3 = HW. | title = Urethral caruncle occurring in a young girl--a case report. | journal = J Korean Med Sci | volume = 8 | issue = 2 | pages = 160-1 | month = Apr | year = 1993 | doi =  | PMID = 8397932 |URL = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3053859/?tool=pubmed }}</ref>
*Polypoid or sessile lesion - covered with squamous epithelium ''or'' urothelium.
*+/-Inflammation.
*+/-Dilated blood vessels.
 
==Sign out==
<pre>
Urethral Caruncle, Excision or Biopsy:
- Consistent with urethral caruncle.
- NEGATIVE for malignancy.
</pre>
 
===Micro===
The specimen consists of a polypoid fragment of predominantly squamous mucosa with parakeratosis and glycogen-like change and mild inflammation. Urothelial mucosa with chronic active inflammation is present. The specimen is negative for significant atypia and negative for readily apparent proliferation.
 
==See also==
*[[Urethra]].
*[[Genitourinary pathology]].
 
==References==
{{Reflist|2}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Genitourinary pathology]]