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[Malakoplakia of the prostate: a case report]
Hong-xian Zhang1, Lu-lin Ma, Shao-min Yang
1Department of Urology, Peking University Third Hospital, Beijing 100191, China.
Summary
Malakoplakia of the prostate, a rare inflammatory condition, can mimic prostate cancer. Diagnosis requires biopsy, and treatment involves antibiotics like sulfamethoxazole-trimethoprim (SMZ-TMP).
Area of Science:
- Urology
- Pathology
- Inflammatory Disorders
Background:
- Malakoplakia is a rare granulomatous inflammatory condition.
- It can present clinically similar to prostate carcinoma, posing diagnostic challenges.
Observation:
- A case of prostatic malakoplakia was diagnosed using transrectral ultrasound and ultrasound-guided needle biopsy.
- Review of existing literature and cases was conducted.
Findings:
- Histologic examination is crucial for definitive diagnosis of malakoplakia.
- Transrectral ultrasound and biopsy are effective diagnostic tools.
- Successful treatment was achieved with compound sulfamethoxazole tablet (SMZ-TMP).
Implications:
- Early and accurate diagnosis of prostatic malakoplakia is essential.
- Prostate biopsy and appropriate antibiotic therapy are recommended clinical practices.
- Understanding this rare condition aids in differentiating it from prostate cancer.
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