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KMID : 1140520200240030147
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Korean Journal of Emergency Medical Services
2020 Volume.24 No. 3 p.147 ~ p.154
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Traumatic urethra injury presenting as urethral cancer : A case study
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Shin Sang-Yol
Hwang Yong
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Abstract
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Purpose: The purpose of the study was to investigate traumatic urethral injury in a 63-year-old patient with hematuria.
Methods: A hematuria patient was transferred by paramedics. At the time of the visit, the patient’s blood pressure (151/91mmHg), pulse rate (86/min), body temperature (37.1℃), and other vital signs were stable. Their KTAS (Korean Triage and Acuity Scale) was Level 4. The patient had no damage to the injured area, but a large contrast defect was observed between the prostate urethra and the bladder in urethral angiography performed due to persistent hematuria and pain in the injured area.
Results: Following radiological evaluation of a suspected liposarcoma or neuroma mass of the prostate urethra, the mass was removed through urethral tumor resection. The result of histologic evaluation provided a diagnosis of highly differentiated invasive urethral cell carcinoma that had invaded the muscle layer. The patient was given additional treatment for urethral cancer but was rejected and is currently being followed.
Conclusion: The prognosis for urinary tract cancer has distinct differences for patients with lymph node metastasis and tumor characteristics. The presence or absence of urethral cancer should be confirmed through angiography, CT, MRI, and cystoscopy.
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KEYWORD
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Traumatic urethral injury, Urethral cancer, Hematuria, Urethra tumor
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