在BCG治疗后呈现为PI-RADS 5病变的晶状体前列腺炎在过渡区的MRI上:一个病例报告
Boris Kovačic1, Ľuboš Rybár1, Patrik Hesko1
1Department of Urology, Bory Hospital, Penta Hospitals, Slovakia.
Radiology case reports
|October 23, 2025
概括
颗粒性前列腺炎是一种罕见的疾病,在治疗巴西卡尔梅特-盖林 (BCG) 后可以模仿前列腺癌. 诊断需要仔细评估,因为成像的相似性和潜在的Mycobacterium结核病检测.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 粒状前列腺炎是一种罕见的良性炎症性疾病.
- 它可以在成像研究中密切模仿前列腺癌.
- 膀癌的肠道Bacillus Calmette-Guérin (BCG) 治疗是一种已知的潜在原因.
研究的目的:
- 报告BCG治疗后发生的粒状前列腺炎病例.
- 突出诊断挑战,使其与前列腺癌区分开来.
- 强调考虑传染病病因的重要性.
主要方法:
- 一个71岁的老人的病例报告.
- 治疗后的PSA升高和多参数核磁共振.
- 以PCR分析为目标的跨膜活检.
主要成果:
- 核磁共振显示前列腺过渡区的PI-RADS 5病变.
- 活检证实了非特异性粒状前列腺炎.
- 通过PCR检测到了Mycobacterium结核病复杂DNA.
结论:
- 经BCG治疗后的细粒状前列腺炎是一个诊断挑战.
- 要将其与前列腺癌区分开来,需要整合成像,活检和PCR发现.
- 感染性原因,如结核病,应考虑在粒状前列腺炎.
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