Miralles T G, Gosalbez F, Menendez P, Perez-Rodriguez A, Folgueras V, Cabanilles D L
Department of Pathology, General Hospital of Asturias, Oviedo, Spain.
Acta Cytol. 1990 Jan-Feb;34(1):57-62.
The fine needle aspiration (FNA) cytologic findings are presented for 18 cases of granulomatous prostatitis (12 nonspecific, 5 tuberculous and 1 eosinophilic cases). These cases represented 19% of all prostatitis cases and 2% of all prostatic aspirates examined from January 1986 to December 1987. The cytomorphologic differences between the three types of granulomatous prostatitis are described, with emphasis on the differentiation between the nonspecific and specific varieties. The differential diagnostic features between reactive changes and well-differentiated adenocarcinomas of the prostate are also presented. The findings in these cases indicate that FNA cytology is a reliable procedure for the morphologic diagnosis of granulomatous prostatitis, which can clinically mimic prostatic carcinoma when it presents as a diffuse or nodular enlargement with increased consistency.
本文呈现了18例肉芽肿性前列腺炎（12例非特异性、5例结核性和1例嗜酸性粒细胞性）的细针穿刺（FNA）细胞学检查结果。这些病例占1986年1月至1987年12月间所有前列腺炎病例的19%，以及所有前列腺穿刺病例的2%。描述了三种类型肉芽肿性前列腺炎的细胞形态学差异，重点在于非特异性和特异性类型之间的鉴别。还介绍了前列腺反应性改变与高分化腺癌之间的鉴别诊断特征。这些病例的检查结果表明，FNA细胞学检查是肉芽肿性前列腺炎形态学诊断的可靠方法，当肉芽肿性前列腺炎表现为弥漫性或结节性增大且质地变硬时，临床上可能会与前列腺癌相混淆。
