{"title":"Adrenocortical oncocytoma exhibits distinct biological features from renal oncocytoma: A rare case report","authors":"Mitsuhiro Tachibana , Hiromichi Nakagawa , Hayato Nozawa , Shigeki Fukuzawa","doi":"10.1016/j.eucr.2026.103465","DOIUrl":"10.1016/j.eucr.2026.103465","url":null,"abstract":"<div><div>Adrenocortical oncocytoma is a rare adrenal tumor. We report a 59-year-old Japanese woman with a right adrenal mass. The resected specimen showed a well-defined, mahogany-brown tumor measuring 4.3 cm. Microscopically, the tumor scored 0 under both the Lin-Weiss-Bisceglia system and the reticulin algorithm, indicating benignity. Immunohistochemical analysis revealed that tumor cells were positive for mitochondria and negative for BSND and ATP6V1G3. Ultrastructural examination found no uniform mitochondria in the cytoplasm of the tumor cells. The oncocytoma in this case may share more characteristics with an adrenal cortical adenoma than with a renal oncocytoma.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103465"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Synchronous squamous cell carcinomas of the glans penis and scrotum: A case report and literature review","authors":"Abdoul-Karim Paré , Delphine Yé , Hassami Sawadogo , Brahima Kirakoya , Amidou Bako , Mohamed Simporé , Salle Joseph Ramdé , Sinaly Soaré , Clotaire Alexis Marie Kiemdiba Donega Yaméogo , Adama Ouattara","doi":"10.1016/j.eucr.2026.103464","DOIUrl":"10.1016/j.eucr.2026.103464","url":null,"abstract":"<div><div>Squamous cell carcinomas (SCCs) of the male external genitalia are uncommon malignancies, with scrotal SCC being particularly rare. The synchronous occurrence of SCC involving both the glans penis and the scrotum represents an exceptional clinical entity with limited documentation in the published literature. We report the case of a 70-year-old uncircumcised man with a background of HIV infection on antiretroviral therapy and remote tobacco use, who presented with a rare synchronous dual-site genital SCC. The pathophysiological, diagnostic, and therapeutic implications of this presentation are discussed in light of current evidence.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103464"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urology Case ReportsPub Date : 2026-05-01Epub Date: 2026-04-29DOI: 10.1016/j.eucr.2026.103467
Rhyan Ouaddane Alami , Marlyatou Diallo , Nawal Hammas , Hind Elfatmi , Laila Chbani , Soufiane Mellas , Jallal El Ammari , Fadl Tazi , Jamal El Fassi
{"title":"Paratesticular rhabdomyosarcoma in adolescents: Challenging diagnosis and poor prognosis of a rare entity","authors":"Rhyan Ouaddane Alami , Marlyatou Diallo , Nawal Hammas , Hind Elfatmi , Laila Chbani , Soufiane Mellas , Jallal El Ammari , Fadl Tazi , Jamal El Fassi","doi":"10.1016/j.eucr.2026.103467","DOIUrl":"10.1016/j.eucr.2026.103467","url":null,"abstract":"<div><div>Paratesticular rhabdomyosarcoma is a rare, aggressive malignancy often misdiagnosed as benign scrotal mass in adolescents. We report a 16-year-old male with a painful scrotal mass, diagnosed at a metastatic stage (IRS Group IV) with retroperitoneal and pulmonary metastasis. Despite radical orchidectomy and intensive multimodal chemotherapy, the disease progressed rapidly, and the patient died 18 months later. Immunohistochemistry confirmed rhabdomyoblastic differentiation through Myogenin and MyoD1 expression. This case emphasizes that any adolescent scrotal mass must be considered malignant until proven otherwise, highlighting the need for early diagnosis and specialized management in metastatic cases.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103467"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147858398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urology Case ReportsPub Date : 2026-05-01Epub Date: 2026-04-22DOI: 10.1016/j.eucr.2026.103454
Gede Wirya Kusuma Duarsa , Pande Made Wisnu Tirtayasa , I Wayan Juli Sumadi , Kadek Budi Santosa , I Wayan Yudiana , Ida Bagus Putra Pramana , Nyoman Gede Prayudi
{"title":"Renal necrotic epithelioid angiomyolipoma: A case report","authors":"Gede Wirya Kusuma Duarsa , Pande Made Wisnu Tirtayasa , I Wayan Juli Sumadi , Kadek Budi Santosa , I Wayan Yudiana , Ida Bagus Putra Pramana , Nyoman Gede Prayudi","doi":"10.1016/j.eucr.2026.103454","DOIUrl":"10.1016/j.eucr.2026.103454","url":null,"abstract":"<div><div>Epithelioid angiomyolipoma is a rare variant of angiomyolipoma, with necrosis being one of its unfavourable prognostic indicators. We report a 39-year-old woman with necrotic epithelioid angiomyolipoma of the left kidney. Left Radical nephrectomy was performed and thorough follow-up was undertaken even though no sign of recurrences or distant metastasis was found.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103454"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urology Case ReportsPub Date : 2026-05-01Epub Date: 2026-04-21DOI: 10.1016/j.eucr.2026.103451
Melita Rotar , Simon Hawlina
{"title":"Reversible detrusor acontractility associated with heavy cannabis use: A case report","authors":"Melita Rotar , Simon Hawlina","doi":"10.1016/j.eucr.2026.103451","DOIUrl":"10.1016/j.eucr.2026.103451","url":null,"abstract":"<div><div>Cannabinoids affect lower urinary tract function, but clinical evidence linking cannabis to urinary retention is limited. We report a 22-year-old healthy male with acute urinary retention and isolated detrusor acontractility despite normal neurological and urological evaluation. History revealed markedly increased cannabis use in the weeks preceding symptom onset. Four months later – with absolute abstinence from cannabis – bladder function fully recovered with restoration of normal detrusor activity and spontaneous voiding. This case suggests that cannabis use may represent a reversible cause of urinary retention and should be considered in the differential diagnosis of unexplained urinary retention in young adults.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103451"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urology Case ReportsPub Date : 2026-05-01Epub Date: 2026-04-27DOI: 10.1016/j.eucr.2026.103462
Robenson Nguyen , Robert Smith , Alexandra Darien , Michael A. Deal , Ngoc-Quynh Chu , Lindsey Cox
{"title":"An abnormal presentation of Xanthogranulomatous Pyelonephritis","authors":"Robenson Nguyen , Robert Smith , Alexandra Darien , Michael A. Deal , Ngoc-Quynh Chu , Lindsey Cox","doi":"10.1016/j.eucr.2026.103462","DOIUrl":"10.1016/j.eucr.2026.103462","url":null,"abstract":"<div><div>Xanthogranulomatous Pyelonephritis (XGP) is commonly misdiagnosed as it can mimic several other pathological conditions. Here we report a case of a 55-year-old female with XGP presenting with pneumomediastinum and associated pleural effusions. The patient was successfully managed with exploratory thoracotomy, mediastinal washout, right lung decortication, and open right nephrectomy to achieve source control. Recognition of this novel complication of XGP is essential for accurate diagnosis and appropriate management, and highlights the importance of counseling patients with existing ureteral stents or nephrostomy tubes about the need for periodic exchanges.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103462"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urology Case ReportsPub Date : 2026-05-01Epub Date: 2026-04-15DOI: 10.1016/j.eucr.2026.103449
Tae-Hee Kim , John C. Cheville , Abhinav Khanna
{"title":"A silver lining … in the ureter: Keratinizing squamous metaplasia with a metallic twist","authors":"Tae-Hee Kim , John C. Cheville , Abhinav Khanna","doi":"10.1016/j.eucr.2026.103449","DOIUrl":"10.1016/j.eucr.2026.103449","url":null,"abstract":"<div><div>Silver or metallic-appearing urinary tract mucosa is exceedingly rare and typically attributed to exogenous metal exposure. We report a case of a diffusely silver-appearing ureter in a 65-year-old man with a history of squamous cell carcinoma of the bladder and chronic intermittent self-catheterization. Imaging revealed no metallic or calcified material, and histopathology demonstrated extensive squamous metaplasia with marked hyperkeratosis. We hypothesize that dense keratin accumulation produced a pseudo-metallic appearance without true metal deposition. This case highlights a novel gross ureteral appearance likely related to chronic inflammation-induced keratinizing changes, expanding the differential for “silver” urothelial mucosa.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103449"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of renal anastomosing hemangioma with significant enlargement during seven years follow-up","authors":"Yuri Hasegawa , Daiji Takamoto , Shuhei Yokokawa , Yohei Kumano , Shinpei Sugiura , Kiyoshi Fujinami , Junichi Teranishi","doi":"10.1016/j.eucr.2026.103461","DOIUrl":"10.1016/j.eucr.2026.103461","url":null,"abstract":"<div><div>Anastomosing hemangioma (AH) is a rare benign vascular tumor of the kidney that can mimic malignant renal tumors on imaging. We report a case of renal AH showing marked enlargement during long-term follow-up. A 56-year-old man was found to have a left renal mass during evaluation for renal dysfunction. The lesion had been diagnosed as hemangioma by percutaneous biopsy and managed conservatively. During follow-up, the tumor enlarged from 35 mm to 90 mm, raising suspicion of malignancy and leading to nephrectomy. Histopathological examination confirmed AH, highlighting the need for careful radiological surveillance.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103461"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urology Case ReportsPub Date : 2026-05-01Epub Date: 2026-04-30DOI: 10.1016/j.eucr.2026.103466
José Antonio Arias-Delgado , Mario Eduardo Garrido-Toribio , Jesús Barahona-Mendoza , José Luis Barrantes-Ticlla , Christhian Manuel Cabeza-Luján , Fernando Imán-Izquierdo , Rodrigo Alonso Fribourg-Liendo , Johana Martins-Luna , Wilmer Silva-Caso
{"title":"Giant well-differentiated liposarcoma of the spermatic cord: Case report","authors":"José Antonio Arias-Delgado , Mario Eduardo Garrido-Toribio , Jesús Barahona-Mendoza , José Luis Barrantes-Ticlla , Christhian Manuel Cabeza-Luján , Fernando Imán-Izquierdo , Rodrigo Alonso Fribourg-Liendo , Johana Martins-Luna , Wilmer Silva-Caso","doi":"10.1016/j.eucr.2026.103466","DOIUrl":"10.1016/j.eucr.2026.103466","url":null,"abstract":"<div><div>Liposarcomas represent less than 5% of genitourinary sarcomas and account for approximately 21%–51% of all paratesticular sarcomas, with the spermatic cord being the most in-volved structure. Diagnosis is confirmed by histopathology, and the mainstay of treatment is complete surgical resection, which can be supplemented with radiotherapy if surgical margins are positive. The role of chemotherapy remains controversial. We present the case of an 86-year-old male with a well-differentiated liposarcoma of the spermatic cord.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103466"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urology Case ReportsPub Date : 2026-05-01Epub Date: 2026-04-20DOI: 10.1016/j.eucr.2026.103444
Diego Gonzalez , Francis Ryan , Kris Kokoneshi , Sam Kwon , Liza Khutsishvili , Fiona Wardrop , Jacob Weiss , Shawn Reginauld , Maher Ali , Abiye Kassa , Michael Whalen
{"title":"Incidental intraprostatic paraganglioma: Case report and review of the literature","authors":"Diego Gonzalez , Francis Ryan , Kris Kokoneshi , Sam Kwon , Liza Khutsishvili , Fiona Wardrop , Jacob Weiss , Shawn Reginauld , Maher Ali , Abiye Kassa , Michael Whalen","doi":"10.1016/j.eucr.2026.103444","DOIUrl":"10.1016/j.eucr.2026.103444","url":null,"abstract":"<div><div>Intraprostatic paraganglioma (PGL) is a rare neuroendocrine tumor arising from chromaffin cells and poses diagnostic and management challenges. We report a 63-year-old man with Grade Group 3 prostate adenocarcinoma who underwent robotic radical prostatectomy and was incidentally found to have a 1.5 mm intraprostatic PGL on final pathology. The patient had no catecholamine-related symptoms, and postoperative plasma metanephrines were normal, consistent with a nonfunctional tumor. Immunohistochemical staining supported the diagnosis. The patient elected surveillance and remains asymptomatic. This case highlights the variable presentation of prostatic PGL and emphasizes the role of pathologic evaluation, biochemical testing, and individualized management strategies.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"66 ","pages":"Article 103444"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147858397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}