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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
PubMed
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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.

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  • 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.