One of the symptoms of paraurethral adenocarcinoma is a striated mass in the urethra. Paraurethral adenocarcinoma occurs around the opening of the urethra in the vulvar vestibule and is a rare malignant tumor. Paraurethral adenocarcinoma is very rare The proportion of adenocarcinoma in women with urethral cancer is significantly higher in this country than in other countries. The tumor can occur in any age group, as young as 4 years old and as old as 80 years old, but it is more likely to occur in postmenopausal and older women mostly between 50 and 70 years old 75% of patients are older than 50 years old, with an average of 60 years old. Whites are more likely to develop this disease than blacks. The etiology of paraurethral adenocarcinoma is not well understood. Some scholars believe that urethral irritation from urination, sexual intercourse, pregnancy or recurrent urinary tract infections may be the causative factors of some urethral cancers. Proliferative diseases such as sarcoid, papilloma, adenoma, and polyp can be secondary to malignant changes. Leukoplakia of the urethral mucosa is considered to be a precancerous lesion. Early symptoms of paraurethral adenocarcinoma are difficulty in urination, urethral bleeding, frequent urination, painful urination nodular or red bleeding masses in the distal urethra or urethral orifice, and localized swelling of the urethra that can be palpated. When the tumor foci increase in size, they may obstruct the urethra or extend to the vulvar vestibular-vaginal orifice and appear as obvious ulcerative bleeding masses with pain and possible metastasis of inguino-pelvic lymph nodes. Lymph node metastasis is rare in early urothelial carcinoma, 20% to 50% have lymph node metastasis at the time of diagnosis about half of advanced or proximal urothelial carcinoma occurs with lymph node metastasis mandarin. It is generally believed that palpation of enlarged lymph nodes is mostly metastasis, while non-infected adenocarcinoma mostly occurs as distant metastasis distant metastasis is most commonly seen in lung, liver bone and brain. Proximal urothelial carcinoma infiltrates the bladder and involves the vagina posteriorly, clinical urovaginal fistula or vesicovaginal fistula lymph node metastasis does not correlate with hematogenous metastasis.