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Solitary fibrous tumour mimicking a urethral caruncle: a diagnostic pitfall.

Created on 14 Aug 2026

Authors

Yoshihiro Ono, Yoshiyuki Miyazawa, Seiji Arai, Yoshitaka Sekine, Keisuke Sugita

Published in

BMJ case reports. Volume 19. Issue 8. Aug 13, 2026. Epub Aug 13, 2026.

Abstract

The urethral caruncle is the most common lesion arising from the posterior lip of the urethral meatus in women; however, various benign and malignant tumours may mimic this condition. We report a case of a solitary fibrous tumour (SFT) presenting as a urethral caruncle. A woman in her late 60s presented with a progressively enlarging urethral mass that was accompanied by urinary spraying. Physical examination revealed a smooth spherical mass measuring 1.2 cm at the posterior urethral meatus. The lesion was completely excised under local anaesthesia. Histologically, the tumour consisted of spindle cells within collagenous stroma. Immunohistochemically, the tumour cells showed nuclear expression of STAT6 with focal CD34 positivity, supporting the diagnosis of SFT. No recurrence was observed during the 9-month follow-up period. This case highlights that lesions clinically resembling urethral caruncle may include mesenchymal tumours such as SFT, underscoring the importance of histopathological evaluation.

PMID:
42595384
Bibliographic data and abstract were imported from PubMed on 14 Aug 2026.

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