Demeter Jonathan, Deshmukh Advait, Salari Bijan, Sindhwani Puneet, Khan Omar
The University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Department of Urology, Toledo, OH, USA.
Urol Case Rep. 2020 Dec 7;35:101526. doi: 10.1016/j.eucr.2020.101526. eCollection 2021 Mar.
Xanthogranulomatous prostatitis (XGP) is a rare disease that can mimic the clinical and imaging findings of prostate cancer. Differentiation of these diseases is vital in order to offer the correct treatment. Histological examination of prostate tissue is the definitive manner in which XGP is distinguished from prostate cancer. This case demonstrates the rare possibility of concurrent findings of prostate abscess, prostate cancer, and XGP, further clouding diagnostic assessment. Percutaneous aspiration and antibiotic treatment of the abscess reduced lower urinary tract symptoms and eliminated XGP on subsequent prostate biopsy. Careful work up is necessary to prevent unnecessary interventions or missed diagnoses.
黄色肉芽肿性前列腺炎（XGP）是一种罕见疾病，其临床和影像学表现可与前列腺癌相似。区分这些疾病对于提供正确的治疗至关重要。前列腺组织的组织学检查是鉴别XGP与前列腺癌的决定性方法。本病例显示了同时出现前列腺脓肿、前列腺癌和XGP的罕见可能性，进一步模糊了诊断评估。经皮穿刺抽吸脓肿并给予抗生素治疗减轻了下尿路症状，并在随后的前列腺活检中消除了XGP。进行仔细的检查对于防止不必要的干预或漏诊是必要的。
