Okamoto Takashi, Doi Kazuki, Ogura Soma, Kusunose Masafumi, Takahashi Kosuke, Fujimoto Takuya, Muramaki Mototsugu, Yamada Yuji
Department of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki-shi Hyogo Japan.
IJU Case Rep. 2024 Sep 26;7(6):503-505. doi: 10.1002/iju5.12791. eCollection 2024 Nov.
Xanthogranulomatous prostatitis is a very rare benign inflammatory lesion of the prostate that may be similar to prostatic carcinoma in clinical presentation and radiological characteristics.
A 77-year-old man was admitted to our hospital because of high prostate-specific antigen level. Magnetic resonance imaging showed a 6.5 cm in diameter multifocal mass with hemorrhage at the base of the left lobe of the prostate. Biopsy was performed. Histopathological examination revealed no evidence of malignancy. After biopsy, he developed recurring fever, so the patient was treated with open suprapubic tumor resection to control infection. Pathological examination revealed xanthogranulomatous prostatitis.
It is necessary to diagnose xanthogranulomatous prostatitis by cooperation between urologists and pathologists, and consider xanthogranulomatous prostatitis as a differential diagnosis. Treatment should be conservative in principle; however, surgical intervention may be necessary.
黄色肉芽肿性前列腺炎是一种非常罕见的前列腺良性炎性病变，其临床表现和影像学特征可能与前列腺癌相似。
一名77岁男性因前列腺特异性抗原水平升高入住我院。磁共振成像显示前列腺左叶底部有一个直径6.5厘米的多灶性肿块并伴有出血。进行了活检。组织病理学检查未发现恶性证据。活检后，他反复发热，因此对该患者进行了耻骨上开放性肿瘤切除术以控制感染。病理检查显示为黄色肉芽肿性前列腺炎。
泌尿外科医生和病理科医生合作诊断黄色肉芽肿性前列腺炎很有必要，并应将黄色肉芽肿性前列腺炎作为鉴别诊断之一。治疗原则上应保守；然而，可能需要手术干预。
