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Related Experiment Videos

[Non-specific granulomatous prostatitis with epithelioid morphology].

M Medina Pérez1, J Valero Puerta, M Sánchez González

  • 1Servicio de Urología, Hospital de la Merced, Osuna, Sevilla, España. mediosun@arrakis.es

Archivos Espanoles De Urologia
|February 19, 2000
PubMed
Summary

This case report highlights granulomatous prostatitis, a condition that can mimic prostate cancer. Early diagnosis is crucial for appropriate management of this non-specific inflammatory condition.

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Area of Science:

  • Urology
  • Pathology

Background:

  • Granulomatous prostatitis is an uncommon inflammatory condition of the prostate gland.
  • It can present with lower urinary tract symptoms, mimicking other prostatic diseases.

Observation:

  • A 57-year-old male presented with pollakiuria and dysuria, with an enlarged and indurated prostate on examination.
  • Initial investigations revealed negative urine cultures and slightly elevated prostate-specific antigen (PSA).

Findings:

  • Histopathological analysis confirmed granulomatous prostatitis with prominent epithelioid histiocytes and abundant calculi.
  • Special stains for fungi and acid-fast bacilli (BAAR) were negative, and no evidence of malignancy was found.

Implications:

  • Granulomatous prostatitis can present clinically and histologically similar to prostate carcinoma.

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  • Awareness of this differential diagnosis is essential for accurate patient management and to avoid unnecessary aggressive treatments.