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心脏移植术后前列腺软斑症一例报告并文献复习

A case report of prostatic malacoplakia after heart transplantation and review of the literature.

作者信息

Geng Shangzhen, Li Lihua, Sun Yunji, Zhang Jianchao, Li Yunwei, Chen Li

机构信息

Department of Urology, Shandong Provincial Third Hospital, No. 12, Wuyingshan Middle Road, Tianqiao District, Jinan, Shandong Province 250031, China.

Public Health Department, Shandong Provincial Third Hospital, No. 12, Wuyingshan Middle Road, Tianqiao District, Jinan, Shandong Province 250031, China.

出版信息

J Surg Case Rep. 2025 Sep 11;2025(9):rjaf716. doi: 10.1093/jscr/rjaf716. eCollection 2025 Sep.

DOI:10.1093/jscr/rjaf716
PMID:40951871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12423391/
Abstract

Prostatic malacoplakia is a relatively rare granulomatous inflammatory disease that is easily misdiagnosed as prostate cancer. Usually, patients' symptoms are improved through antibacterial treatment. We performed thulium laser enucleation of the prostate by the triple-groove, triple-arc method on a 68-year-old man, a patient with significant dysuria. The patient has significantly improved lower urinary tract symptoms and quality of life.

摘要

前列腺软斑病是一种相对罕见的肉芽肿性炎症性疾病，容易被误诊为前列腺癌。通常，通过抗菌治疗患者的症状会得到改善。我们采用三槽、三弧法对一名68岁的男性患者进行了前列腺钬激光剜除术，该患者存在明显的排尿困难。患者的下尿路症状和生活质量有了显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/989e/12423391/2f27ff5177a5/rjaf716f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/989e/12423391/2f27ff5177a5/rjaf716f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/989e/12423391/2f27ff5177a5/rjaf716f1.jpg

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本文引用的文献

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A rare case of prostatic malakoplakia with multidrug-resistant Escherichia coli: a case report.一例前列腺罕见的类脂性肉芽肿合并多重耐药大肠埃希菌感染：病例报告。
BMC Infect Dis. 2024 Oct 31;24(1):1226. doi: 10.1186/s12879-024-10144-2.
2
Multiparameter MRI features of prostatic malakoplakia.
Br J Radiol. 2025 Jan 1;98(1165):131-135. doi: 10.1093/bjr/tqae205.
3
Prostatic Malakoplakia: A case report.前列腺软斑病：一例报告。
Asian J Surg. 2024 Sep 11. doi: 10.1016/j.asjsur.2024.08.236.
4
Rectal malakoplakia mimicking advanced rectal cancer: A case report.酷似晚期直肠癌的直肠软斑症：一例报告
Heliyon. 2023 Oct 6;9(10):e20780. doi: 10.1016/j.heliyon.2023.e20780. eCollection 2023 Oct.
5
The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2023 指南：更新共识外科病例报告（SCARE）指南。
Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.
6
Prostatic malakoplakia: clinicopathological assessment of a multi-institutional series of 49 patients.
Histopathology. 2022 Oct;81(4):520-528. doi: 10.1111/his.14729. Epub 2022 Aug 7.
7
Malakoplakia prostate presenting as urinary retention: a report of two cases and review of the literature.前列腺黏膜包涵体病导致尿潴留：两例报告及文献复习。
BMJ Case Rep. 2021 Jul 28;14(7):e243927. doi: 10.1136/bcr-2021-243927.
8
Exuberant Malakoplakia of the Prostate Presenting as Prostatic Abscesses in an Immunocompromised Patient.免疫功能低下患者中表现为前列腺脓肿的前列腺旺盛型软斑病
J Endourol Case Rep. 2020 Sep 17;6(3):231-234. doi: 10.1089/cren.2020.0050. eCollection 2020.
9
Malakoplakia of the prostate masquerading as locally advanced prostate cancer on mpMRI.前列腺软斑症在多参数磁共振成像上伪装成局部晚期前列腺癌。
Can Urol Assoc J. 2015 Nov-Dec;9(11-12):E910-2. doi: 10.5489/cuaj.3235. Epub 2015 Dec 14.
10
Benign mimickers of prostatic adenocarcinoma.前列腺腺癌的良性模仿者。
Mod Pathol. 2004 Mar;17(3):328-48. doi: 10.1038/modpathol.3800055.