Hematospermia and Cloacogenic Transitional Cell Carcinoma: A
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Hematospermia, the presence of blood in the ejaculate, is generally considered benign. There are multiple possible etiologies ranging from inflammation and infection to structural abnormalities.Only in about 2% of cases is hematospermia associated with malignancy of the genitourinary tract. We present a patient initially referred for complaint of recurrent hematospermia who, on further evaluation, was found to have a transitional cell carcinoma of the rectum. While transitional cell carcinoma (TCC) is a common genitourinary cancer, its presence in the anus and rectum is rare, accounting for 2%-3% of anorectal cancers.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......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761671/
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