Iwaki H, Konishi T, Hamaguchi A, Okada Y, Tomoyoshi T
Department of Urology, Shiga University of Medical Science.
Hinyokika Kiyo. 1995 Nov;41(11):895-7.
We report a case of prostatic malacoplakia clinically diagnosed as prostatic cancer. A 65-year-old man was seen with increased urinary frequency, and urinalysis disclosed moderate pyuria. After the administration of antibiotics for several days, the urine was sterile and the symptoms disappeared, but findings of digital examination of the prostate were compatible with prostatic cancer. Transperineal needle biopsy of the prostate was reported as poorly differentiated adenocarcinoma on the piece from the left lobe. Following further evaluation, the patient underwent radical prostatectomy under the preoperative diagnosis of stage B1 prostatic cancer. However, histological diagnosis of the surgical specimen was malacoplakia of the prostate.
我们报告一例临床上被诊断为前列腺癌的前列腺软斑病病例。一名65岁男性因尿频就诊，尿液分析显示中度脓尿。使用抗生素治疗数天后，尿液无菌且症状消失，但前列腺直肠指检结果与前列腺癌相符。前列腺经会阴穿刺活检显示，左叶组织为低分化腺癌。进一步评估后，患者在术前诊断为B1期前列腺癌的情况下接受了根治性前列腺切除术。然而，手术标本的组织学诊断为前列腺软斑病。
