Tapsoba Abdoul Kader, Rahoui Moez, Bibi Mokhtar, Chelly Beya, Ouanes Yassine, Chaker Kays, Dali Kheireddine Mrad, Sellami Ahmed, Rhouma Sami Ben, Nouira Yassine
Department of Urology, La Rabta Hospital, University of Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.
Department of Urology, Faculty of Medicine Tunis, La Rabta Hospital, University Tunis Manar, Tunis, Tunisia.
J Surg Case Rep. 2021 Nov 17;2021(11):rjab504. doi: 10.1093/jscr/rjab504. eCollection 2021 Nov.
Adenocarcinoma of prostate is the most common primary prostatic malignancy in the world. Isolated prostate tuberculosis is an uncommon type of tuberculosis. Concomitant occurrence of both conditions is extremely rare. We report two cases of adenocarcinoma and tuberculosis of the prostate. The patients were 83 and 74 years old, respectively. They presented obstructive and irritative symptoms of the lower urinary tract. The prostatic finding and prostate-specific antigen were abnormals. The diagnosis of prostatic tuberculosis and adenocarcinoma was made by histologic analysis after transurethral resection of prostate. The treatment is based on chemotherapy anti-tuberculosis and hormonotherapy. Tuberculosis and malignancy may co-exist in some cases and clinicians must have a high index of suspicion for tuberculosis, especially in patients from endemic areas, in order to initiate early and proper treatment.
前列腺腺癌是全球最常见的原发性前列腺恶性肿瘤。孤立性前列腺结核是一种不常见的结核病类型。这两种疾病同时发生极为罕见。我们报告两例前列腺腺癌合并结核的病例。患者分别为83岁和74岁。他们表现出下尿路梗阻和刺激症状。前列腺检查结果及前列腺特异性抗原均异常。经尿道前列腺切除术后通过组织学分析确诊为前列腺结核和腺癌。治疗基于抗结核化疗和激素治疗。在某些情况下，结核和恶性肿瘤可能同时存在，临床医生必须对结核病保持高度怀疑，尤其是来自流行地区的患者，以便尽早开始适当治疗。
