Mohan Harsh, Bal Amanjit, Punia Raj Pal Singh, Bawa Amarpreet Singh
Department of Pathology & Surgery, Govt. Medical College, Chandigarh, India.
Int J Urol. 2005 May;12(5):474-8. doi: 10.1111/j.1442-2042.2005.01068.x.
Granulomatous prostatitis is an unusual benign inflammatory process of the prostate. Clinically, it mimics prostatic carcinoma, thus requiring pathological examination for diagnosis.
Histopathological records of 1353 prostate specimens received in the Department of Pathology, Government Medical College, Chandigarh, India, over a period of 8 years (1995-2002) were reviewed and 20 cases of granulomatous prostatitis were retrieved.
Out of 20 cases of granulomatous prostatitis, we encountered 12 cases of non-specific granulomatous prostatitis, two cases of xanthogranulomatous prostatitis, two cases of tuberculous prostatitis, two cases of malakoplakia prostate and one case each of granulomatous prostatitis associated with adenocarcinoma prostate and post-surgical palisading granuloma. The diagnosis was made by histopathological examination of Trucut biopsy, transuretheral resection of prostate chips or retropubic prostatectomy specimen. In all the cases, granulomatous prostatitis was an incidental finding.
Non-specific granulomatous prostatitis is the most common type of granulomatous prostatitis. Despite tuberculosis being very common in India, granulomatous prostatitis associated with tuberculosis is not common. Distinction between non-specific and infectious granulomatous prostatitis is important for therapeutic reasons.
肉芽肿性前列腺炎是一种不常见的前列腺良性炎症过程。临床上，它与前列腺癌相似，因此需要病理检查来确诊。
回顾了印度昌迪加尔政府医学院病理科在8年（1995 - 2002年）期间接收的1353份前列腺标本的组织病理学记录，并检索出20例肉芽肿性前列腺炎病例。
在20例肉芽肿性前列腺炎病例中，我们遇到12例非特异性肉芽肿性前列腺炎、2例黄色肉芽肿性前列腺炎、2例结核性前列腺炎、2例前列腺软斑病以及各1例与前列腺腺癌相关的肉芽肿性前列腺炎和术后栅栏状肉芽肿。诊断通过Trucut活检、经尿道前列腺组织切除或耻骨后前列腺切除术标本的组织病理学检查做出。在所有病例中，肉芽肿性前列腺炎均为偶然发现。
非特异性肉芽肿性前列腺炎是肉芽肿性前列腺炎最常见的类型。尽管结核病在印度非常常见，但与结核病相关的肉芽肿性前列腺炎并不常见。出于治疗原因，区分非特异性和感染性肉芽肿性前列腺炎很重要。
