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[Ectopic prostatic tissue in the bladder].
J M Sánchez Merino1, A Fernández Flores, S C Gómez Cisneros
1Servicio de Urología, Hospital del Bierzo, Ponferrada, León.
Actas Urologicas Espanolas
|August 15, 2002
Summary
Ectopic prostatic tissue was incidentally discovered at the bladder trigone in a man undergoing benign prostatic hyperplasia treatment. Histology confirmed prostatic glands positive for prostate-specific antigen, with no recurrence after ten months.
Area of Science:
- Urology
- Pathology
- Histology
Background:
- Benign prostatic hyperplasia (BPH) is a common condition in aging men.
- Ectopic prostatic tissue, while rare, can occur in various locations.
- Accurate diagnosis is crucial for appropriate patient management.
Observation:
- A 58-year-old male patient presented with symptoms of BPH.
- During diagnostic workup for BPH, pseudocystic lesions were incidentally found to completely occupy the bladder trigone.
- The lesions were partially covered by normal urothelium.
Findings:
- Histological examination revealed prostatic-type glands within the ectopic tissue.
- Immunohistochemistry confirmed the presence of prostatic-specific antigen (PSA) in these glands.
- The ectopic tissue was surgically managed as part of BPH treatment.
Implications:
- This case highlights an unusual presentation of ectopic prostatic tissue.
- The findings underscore the importance of thorough histological evaluation, even in incidental findings.
- Long-term follow-up demonstrated no evidence of recurrence, suggesting a benign course for this ectopic prostatic tissue.