Medical condition
Granulomatous prostatitis is an uncommon disease of theprostate , anexocrine gland of themale reproductive system .[ 1] It is a form ofprostatitis (prostate inflammation), resulting from infection (bacterial, viral, or fungal),BCG vaccine ,malacoplakia or systemic granulomatous diseases which involve the prostate.
Prostatic secretions escape into the stroma and elicit an inflammatory response.[ 2]
Noticeable destruction of Acini, surrounded by epitheloid cells,giant cells ,lymphocytes ,plasma cells and densefibrosis .[ 2]
Mimicry of prostate cancer [ edit ] Granulomatous prostatitis can be mistaken forprostate cancer , including on rectal examination, MRI, and heightened PSA scores. A biopsy differentiates.[ 3] [ 4] [ 5] [ 6]
Some 70% of cases areidiopathic . Causes may include infection and immunological links.[ 6]
One study stated prevalence in 0.44% in routine prostatectomy specimens, 0.29% in needle biopsies, and 0.77% of TURP, simple prostatectomy, and needle biopsy.[ 2]
^ "Granulomatous prostatitis" .MedGen . NCBI.^a b c Kumbar, Rajeshwari (2016)."Clinicopathological Overview of Granulomatous Prostatitis: An Appraisal" .Journal of Clinical and Diagnostic Research .10 (1). JCDR Research and Publications: EC20-3.doi :10.7860/jcdr/2016/15365.7146 .ISSN 2249-782X .PMC 4740601 .PMID 27014642 . ^ Bertelli, Elena; Zantonelli, Giulia; Cinelli, Alberto; Pastacaldi, Sandro; Agostini, Simone; Neri, Emanuele; Miele, Vittorio (23 September 2022)."Granulomatous Prostatitis, the Great Mimicker of Prostate Cancer: Can Multiparametric MRI Features Help in This Challenging Differential Diagnosis?" .Diagnostics .12 (10): 2302.doi :10.3390/diagnostics12102302 .PMC 9600901 .PMID 36291991 . ^ "Nonspecific granulomatous prostatitis" .^ Luca, Luigi De; Crocetto, Felice; Barone, Biagio; Creta, Massimiliano; Pesce, Salvatore; Aveta, Achille; Campanino, Maria Raffaela; Imbimbo, Ciro; Longo, Nicola (August 2020)."Granulomatous prostatitis mimicking prostate cancer in a patient with psoriatic arthritis: a case report" .Future Science OA .6 (7): FSO591.doi :10.2144/fsoa-2020-0031 .PMC 7421716 .PMID 32802396 . ^a b Hulman, Geoffrey (25 January 2023)."Granulomatous Prostatitis - Pathology mini tutorial" .YouTube . [user-generated source? ]
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