© 2012 The Korean Society of Pathologists/The Korean Society for Cytopathology pISSN 1738-1843

Clear cell adenocarcinoma (CCA) of the urethra is a rare dis-ease entity. To date, it has been described on several case reports or a small series of collective cases have been reported.1-5 It com-monly occurs in women aged between 35 and 80 years (mean, 58 years).1 Its histological findings are well known and are iden-tical to those of the female genital tract. However, the cytologi-cal findings have been less described and only two cases have been reported in the English literature.6,7 Here, we report cyto-logical findings of the CCA of the female urethra with a review of literatures. CASE REPORT A 54-year-old woman presented with a painless, gross hema-turia lasting three months. The patient had undergone a hyster-ectomy 24 years previously because of the uterine cancer. The patient had frequency, residual urine sensation, nocturia an