Rajeshwari Kumbar1, Nandkumar Dravid2, Dhiraj Nikumbh3, Ashish Patil2, Karibasappa Gundabaktha Nagappa4. 1. Assistant Professor, Department of Pathology, ACPM Medical College , Dhule, Maharashtra, India . 2. Professor and Head, Department of Pathology, ACPM Medical College , Dhule, Maharashtra, India . 3. Associate Professor, Department of Pathology, ACPM Medical College , Dhule, Maharashtra, India . 4. Professor, Department of Public Health Dentistry, ACPM Dental College , Dhule, Maharashtra, India .
Abstract
INTRODUCTION: Granulomatous prostatitis is a rare inflammatory condition of the prostate. Granulomatous prostatitis is important because, it mimics prostatic carcinoma clinically and hence the diagnosis can be made only by histopathological examination. AIM: To study the histomorphological features and to know the prevalence of granulomatous prostatitis. MATERIALS AND METHODS: Histopathological records of 1,203 prostatic specimens received in the Department of the Pathology over a period of five years (June 2009 - June 2014). Seventeen cases of histopathologically, diagnosed granulomatous prostatitis were retrieved and reterospective data was collected from the patient's records. RESULTS: Out of 17 cases of granulomatous prostatitis, we encountered 9 cases of non-specific granulomatous prostatitis, 5 cases of xanthogranulomatous prostatitis and 3 cases of specific tubercular prostatitis. The common age ranged from 51-75 years (mean 63 years) with mean PSA level of 15.8ng/ml. Six patients showed focal hypoechoic areas on TRUS and 11 cases revealed hard and fixed nodule on DRE. CONCLUSION: Non-specific granulomatous prostatitis is the most common type of granulomatous prostatitis. There is no specific pattern of clinical, biochemical and ultrasound findings that allows the diagnosis of granulomatous prostatitis or differentiates it from prostatic carcinoma. Hence, histomorphological diagnosis is the gold standard in differentiating various prostatic lesions.
INTRODUCTION:Granulomatous prostatitis is a rare inflammatory condition of the prostate. Granulomatous prostatitis is important because, it mimics prostatic carcinoma clinically and hence the diagnosis can be made only by histopathological examination. AIM: To study the histomorphological features and to know the prevalence of granulomatous prostatitis. MATERIALS AND METHODS: Histopathological records of 1,203 prostatic specimens received in the Department of the Pathology over a period of five years (June 2009 - June 2014). Seventeen cases of histopathologically, diagnosed granulomatous prostatitis were retrieved and reterospective data was collected from the patient's records. RESULTS: Out of 17 cases of granulomatous prostatitis, we encountered 9 cases of non-specific granulomatous prostatitis, 5 cases of xanthogranulomatous prostatitis and 3 cases of specific tubercular prostatitis. The common age ranged from 51-75 years (mean 63 years) with mean PSA level of 15.8ng/ml. Six patients showed focal hypoechoic areas on TRUS and 11 cases revealed hard and fixed nodule on DRE. CONCLUSION: Non-specific granulomatous prostatitis is the most common type of granulomatous prostatitis. There is no specific pattern of clinical, biochemical and ultrasound findings that allows the diagnosis of granulomatous prostatitis or differentiates it from prostatic carcinoma. Hence, histomorphological diagnosis is the gold standard in differentiating various prostatic lesions.
Entities:
Keywords:
Histomorphology; Non-specific infection; Prostate; Specific infection
Authors: J Fernando Val-Bernal; Laura Zaldumbide; M Francisca Garijo; M Carmen González-Vela Journal: Ann Diagn Pathol Date: 2004-08 Impact factor: 2.090
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