Sánchez Chapado M, Angulo Cuesta J, Guil Cid M, Lera Fernández R, Dehaini A, Prieto Chaparro L
Servicio de Urología, Hospital Príncipe de Asturias, Facultad de Medicina, Universidad de Alcalá de Henares, Madrid, España.
Arch Esp Urol. 1995 Oct;48(8):775-8.
The present study describes a case of malacoplakia of the genitourinary tract arising in the seminal vesicle and prostate and reviews similar cases previously reported in the literature.
A 67-year-old male consulted for hemospermia and voiding symptoms. Prostatic neoplasm was suspected on the basis of the clinical and radiological findings.
The diagnosis was made only after biopsy and histological analysis. Electron microscopy is a very useful tool. Long-term antibiotic therapy may achieve optimal results. Treatment with fluoroquinolones was successful.
To avoid unwarranted radical approaches, we underscore the possibility that prostatic pseudotumors may be misinterpreted as neoplasia. Malacoplakia is diagnosed only by histology and requires medical treatment.
本研究描述了一例起源于精囊和前列腺的泌尿生殖道软斑病病例，并回顾了文献中先前报道的类似病例。
一名67岁男性因血精和排尿症状前来就诊。根据临床和影像学检查结果怀疑患有前列腺肿瘤。
仅在活检和组织学分析后才做出诊断。电子显微镜是一种非常有用的工具。长期抗生素治疗可能会取得最佳效果。氟喹诺酮类药物治疗成功。
为避免不必要的根治性治疗方法，我们强调前列腺假性肿瘤可能被误诊为肿瘤的可能性。软斑病仅通过组织学诊断，需要药物治疗。
