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[Hemorrhagic prostatic cyst following ultrasound guided biopsy. A case report]
F Herranz Amo1, F Verdú Tartajo, J M Díez Cordero
1Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Insights
Hemorrhagic post-biopsy prostatic cysts are rare, occurring in only 1.3% of patients undergoing repeat prostate biopsies. Diagnosis requires considering biopsy history, cyst aspiration, and prostate biopsy results.
Area of Science:
- Urology
- Radiology
- Pathology
Background:
- Ultrasound-guided prostate biopsy is a common procedure for diagnosing prostate cancer.
- Complications, though rare, can occur and require careful evaluation.
- Hemorrhagic prostatic cysts are an uncommon post-biopsy sequela.
Observation:
- A retrospective review of 77 patients undergoing repeat prostate biopsy identified one case (1.3%) of a hemorrhagic prostatic cyst.
- The cyst's ultrasound features were analyzed.
- Differential diagnosis and management strategies for such cystic lesions were considered.
Findings:
- Hemorrhagic post-biopsy prostatic cysts are infrequent findings after prostate biopsies.
- Diagnostic criteria include a history of prior biopsy, cyst aspiration results, and prostate gland biopsy findings.
Implications:
- Awareness of this rare complication is important for clinicians performing prostate biopsies.
- Accurate diagnosis aids in appropriate patient management and avoids unnecessary interventions.
- Further research may elucidate the precise mechanisms and optimal management of these cysts.
Objective:
To describe a case of a hemorrhagic prostatic cyst following ultrasound-guided biopsy of the prostate gland.
Methods/Results:
We reviewed our series of 77 patients submitted to re-biopsy of the prostate; only one case (1.3%) of hemorrhagic post-biopsy prostatic cyst was found. The ultrasound features, differential diagnosis and management of these cystic lesions are discussed.
Conclusions:
Hemorrhagic post-biopsy prostatic cyst is rare in our series (1.3%). A history of a previous biopsy in the area of the cystic lesion, the results of punction-aspiration of the cystic content and biopsy of the prostate gland provide data that are necessary to make the diagnosis.