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Association between male accesory gland infections and prostate cancer in Turkish men: A case-control study
S Aykan1, M Z Temiz2, M Yilmaz1
1Department of Urology, Bagcilar Training and Research Hospital, Istanbul, Turkey.
Abstract:
It is well known that chronic inflammation contributes to several forms of human cancer. Although several studies have investigated the association between prostatitis and prostate cancer, there is a lack of specifically designed study about male accessory gland infections (MAGI) and prostate cancer co-occurrence. We aimed to investigate this association with a case-control study in Turkish men. A total of 155 patients were enrolled to the study. After the pathological examination of the transrectal ultrasound-guided prostate biopsy specimens, patients were divided the two groups as control and prostate cancer and the presence of MAGI was determined. Of 155 patients, 145 met inclusion criteria. In the prostate cancer group, MAGI diagnose was determined in 18 of 31 patients (58.06%), while it was determined in 25 of 114 (21.93%) patients in the control group (p = .001). A significant correlation between MAGI and pathological Gleason score also revealed (p = .0001). We demonstrated that men with MAGI have increased risk for the development of prostate cancer. Moreover, in this population, most of the prostate cancers tend to be clinically significant or high grade.
Insights
Male accessory gland infections (MAGI) significantly increase prostate cancer risk. This study found MAGI in 58% of prostate cancer patients, compared to 22% of controls, suggesting a link to high-grade tumors.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Chronic inflammation is a known risk factor for various cancers.
- Previous research explored prostatitis and prostate cancer links.
- A gap exists in understanding male accessory gland infections (MAGI) and prostate cancer co-occurrence.
Purpose of the Study:
- To investigate the association between male accessory gland infections (MAGI) and prostate cancer in Turkish men.
- To determine if MAGI is a risk factor for prostate cancer development.
- To explore the relationship between MAGI and prostate cancer grade.
Main Methods:
- A case-control study was conducted with 155 male patients.
- Patients were categorized into control and prostate cancer groups based on prostate biopsy pathology.
- Male accessory gland infections (MAGI) were diagnosed through pathological examination of biopsy specimens.
Main Results:
- Of 145 eligible patients, MAGI was diagnosed in 58.06% of the prostate cancer group (18/31) versus 21.93% in the control group (25/114) (p=0.001).
- A significant correlation was found between MAGI and pathological Gleason score (p=0.0001).
- Prostate cancers in this population were predominantly clinically significant or high-grade.
Conclusions:
- Male accessory gland infections (MAGI) are associated with an increased risk of developing prostate cancer.
- MAGI may be linked to higher-grade prostate cancer.
- Further research is warranted to elucidate the mechanisms behind this association.
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