Aziz El Majdoub, Abdelhak Khallouk, Hassan Farih Moulay
Department of Urology, Hassan II Hospital University Center, Fez, Morocco.
Pan Afr Med J. 2016 Nov 2;25:130. doi: 10.11604/pamj.2016.25.130.7577. eCollection 2016.
Genitourinary tuberculosis is a common type of extra-pulmonary tuberculosis . The kidneys, ureter, bladder or genital organs are usually involved. Tuberculosis of the prostate has mainly been described in immune-compromised patients. However, it can exceptionally be found as an isolated lesion in immune-competent patients. Tuberculosis of the prostate may be difficult to differentiate from carcinoma of the prostate and the chronic prostatitis when the prostate is hard and nodular on digital rectal examination and the urine is negative for tuberculosis bacilli. In many cases, a diagnosis of tuberculous prostatitis is made by the pathologist, or the disease is found incidentally after transurethral resection. Therefore, suspicion of tuberculous prostatitis requires a confirmatory biopsy of the prostate. We report the case of 60-year-old man who presented a low urinary tract syndrome. After clinical and biological examination, and imaging, prostate cancer was highly suspected. Transrectal needle biopsy of the prostate was performed and histological examination showed tuberculosis lesions.
泌尿生殖系统结核是肺外结核的一种常见类型。肾脏、输尿管、膀胱或生殖器官通常会受累。前列腺结核主要见于免疫功能低下的患者。然而，在免疫功能正常的患者中也可能罕见地发现孤立性病变。当直肠指检发现前列腺质地硬且有结节，而尿液结核杆菌检查为阴性时前列腺结核可能难以与前列腺癌和慢性前列腺炎相鉴别。在许多情况下，结核性前列腺炎是由病理学家做出诊断，或者是经尿道切除术后偶然发现。因此，怀疑结核性前列腺炎需要对前列腺进行确诊性活检。我们报告一例60岁出现下尿路综合征的男性病例。经过临床、生物学检查及影像学检查后，高度怀疑前列腺癌。遂进行经直肠前列腺穿刺活检，组织学检查显示为结核病变。
