Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and Meaning

A 52-year-old gentleman presented with recurrent hematospermia. Further history revealed recent onset of constipation and difficulty voiding. Rectal examination revealed a firm, polypoid mass and colonoscopy showed suspicious, ulcerated lesions of the rectal mucosa with narrowing of the rectal vault...

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Main Authors: Alex M. Hennessey, Jessica M. Clement, Faripour Forouhar, John A. Taylor
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2016/8050459
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author Alex M. Hennessey
Jessica M. Clement
Faripour Forouhar
John A. Taylor
author_facet Alex M. Hennessey
Jessica M. Clement
Faripour Forouhar
John A. Taylor
author_sort Alex M. Hennessey
collection DOAJ
description A 52-year-old gentleman presented with recurrent hematospermia. Further history revealed recent onset of constipation and difficulty voiding. Rectal examination revealed a firm, polypoid mass and colonoscopy showed suspicious, ulcerated lesions of the rectal mucosa with narrowing of the rectal vault. Pathology demonstrated transitional cell carcinoma of the rectum. While transitional cell carcinoma is a common genitourinary cancer, its presence in the anus and rectum is exceedingly rare. Furthermore, hematospermia is generally not associated with malignancy. This case is a remarkable example of two pathologic processes presenting in rare form and underscores the value of a thorough investigation of hematospermia when associated with other clinical symptoms.
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series Case Reports in Urology
spelling doaj-art-cb2724d9d7ae43fcb65138a782163ddd2025-08-20T03:23:38ZengWileyCase Reports in Urology2090-696X2090-69782016-01-01201610.1155/2016/80504598050459Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and MeaningAlex M. Hennessey0Jessica M. Clement1Faripour Forouhar2John A. Taylor3School of Medicine, University of Connecticut Health Center, Farmington, CT, USADivision of Hematology Oncology, University of Connecticut Health Center, Farmington, CT, USADepartment of Pathology, University of Connecticut Health Center, Farmington, CT, USADivision of Urology, University of Connecticut Health Center, Farmington, CT, USAA 52-year-old gentleman presented with recurrent hematospermia. Further history revealed recent onset of constipation and difficulty voiding. Rectal examination revealed a firm, polypoid mass and colonoscopy showed suspicious, ulcerated lesions of the rectal mucosa with narrowing of the rectal vault. Pathology demonstrated transitional cell carcinoma of the rectum. While transitional cell carcinoma is a common genitourinary cancer, its presence in the anus and rectum is exceedingly rare. Furthermore, hematospermia is generally not associated with malignancy. This case is a remarkable example of two pathologic processes presenting in rare form and underscores the value of a thorough investigation of hematospermia when associated with other clinical symptoms.http://dx.doi.org/10.1155/2016/8050459
spellingShingle Alex M. Hennessey
Jessica M. Clement
Faripour Forouhar
John A. Taylor
Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and Meaning
Case Reports in Urology
title Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and Meaning
title_full Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and Meaning
title_fullStr Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and Meaning
title_full_unstemmed Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and Meaning
title_short Hematospermia and Cloacogenic Transitional Cell Carcinoma: A Twist on Significance and Meaning
title_sort hematospermia and cloacogenic transitional cell carcinoma a twist on significance and meaning
url http://dx.doi.org/10.1155/2016/8050459
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