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Severe Xanthogranulomatous prostatitis mimicking prostate cancer: a case report
Wael Abdo Hassan1,2, Ahmed Ali Elmetwally3, Mennat Allah Mohammed Abdelhafeez4
1Department of Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. w.hassan@sr.edu.sa.
Xanthogranulomatous prostatitis, a rare benign condition, can mimic prostate cancer symptoms and test results. Accurate diagnosis requires pathological examination to differentiate it from malignancy.
Area of Science:
- Urology
- Pathology
Background:
- Xanthogranulomatous prostatitis is a rare, non-cancerous inflammatory prostate condition.
- It clinically resembles prostate carcinoma, making diagnosis challenging.
Observation:
- A 75-year-old male presented with urinary symptoms and elevated PSA, suggesting advanced prostate cancer.
- Initial clinical and imaging findings were consistent with locally advanced prostate carcinoma.
Findings:
- Histopathological examination revealed severe xanthogranulomatous prostatitis.
- The condition was found alongside benign prostatic hyperplasia.
Implications:
- Xanthogranulomatous prostatitis shares clinical, radiological, and biochemical features with prostate cancer.
- High suspicion and pathologist collaboration are crucial for accurate diagnosis.
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