Xanthogranulomatous prostatitis with multilocular mass on MRI

Introduction Xanthogranulomatous prostatitis is a very rare benign inflammatory lesion of the prostate that may be similar to prostatic carcinoma in clinical presentation and radiological characteristics. Case presentation A 77‐year‐old man was admitted to our hospital because of high prostate‐speci...

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Main Authors: Takashi Okamoto, Kazuki Doi, Soma Ogura, Masafumi Kusunose, Kosuke Takahashi, Takuya Fujimoto, Mototsugu Muramaki, Yuji Yamada
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12791
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author Takashi Okamoto
Kazuki Doi
Soma Ogura
Masafumi Kusunose
Kosuke Takahashi
Takuya Fujimoto
Mototsugu Muramaki
Yuji Yamada
author_facet Takashi Okamoto
Kazuki Doi
Soma Ogura
Masafumi Kusunose
Kosuke Takahashi
Takuya Fujimoto
Mototsugu Muramaki
Yuji Yamada
author_sort Takashi Okamoto
collection DOAJ
description Introduction Xanthogranulomatous prostatitis is a very rare benign inflammatory lesion of the prostate that may be similar to prostatic carcinoma in clinical presentation and radiological characteristics. Case presentation A 77‐year‐old man was admitted to our hospital because of high prostate‐specific antigen level. Magnetic resonance imaging showed a 6.5 cm in diameter multifocal mass with hemorrhage at the base of the left lobe of the prostate. Biopsy was performed. Histopathological examination revealed no evidence of malignancy. After biopsy, he developed recurring fever, so the patient was treated with open suprapubic tumor resection to control infection. Pathological examination revealed xanthogranulomatous prostatitis. Conclusion It is necessary to diagnose xanthogranulomatous prostatitis by cooperation between urologists and pathologists, and consider xanthogranulomatous prostatitis as a differential diagnosis. Treatment should be conservative in principle; however, surgical intervention may be necessary.
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publishDate 2024-11-01
publisher Wiley
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series IJU Case Reports
spelling doaj-art-b0e2d568296847b5ba92aec88ea0be852025-08-20T02:18:27ZengWileyIJU Case Reports2577-171X2024-11-017650350510.1002/iju5.12791Xanthogranulomatous prostatitis with multilocular mass on MRITakashi Okamoto0Kazuki Doi1Soma Ogura2Masafumi Kusunose3Kosuke Takahashi4Takuya Fujimoto5Mototsugu Muramaki6Yuji Yamada7Department of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanDepartment of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanDepartment of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanDepartment of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanDepartment of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanDepartment of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanDepartment of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanDepartment of Urology Hyogo Prefectural Amagasaki General Medical Center Amagasaki‐shi Hyogo JapanIntroduction Xanthogranulomatous prostatitis is a very rare benign inflammatory lesion of the prostate that may be similar to prostatic carcinoma in clinical presentation and radiological characteristics. Case presentation A 77‐year‐old man was admitted to our hospital because of high prostate‐specific antigen level. Magnetic resonance imaging showed a 6.5 cm in diameter multifocal mass with hemorrhage at the base of the left lobe of the prostate. Biopsy was performed. Histopathological examination revealed no evidence of malignancy. After biopsy, he developed recurring fever, so the patient was treated with open suprapubic tumor resection to control infection. Pathological examination revealed xanthogranulomatous prostatitis. Conclusion It is necessary to diagnose xanthogranulomatous prostatitis by cooperation between urologists and pathologists, and consider xanthogranulomatous prostatitis as a differential diagnosis. Treatment should be conservative in principle; however, surgical intervention may be necessary.https://doi.org/10.1002/iju5.12791granulomatousprostatic abscessprostatitisxanthogranulomatousxanthoma
spellingShingle Takashi Okamoto
Kazuki Doi
Soma Ogura
Masafumi Kusunose
Kosuke Takahashi
Takuya Fujimoto
Mototsugu Muramaki
Yuji Yamada
Xanthogranulomatous prostatitis with multilocular mass on MRI
IJU Case Reports
granulomatous
prostatic abscess
prostatitis
xanthogranulomatous
xanthoma
title Xanthogranulomatous prostatitis with multilocular mass on MRI
title_full Xanthogranulomatous prostatitis with multilocular mass on MRI
title_fullStr Xanthogranulomatous prostatitis with multilocular mass on MRI
title_full_unstemmed Xanthogranulomatous prostatitis with multilocular mass on MRI
title_short Xanthogranulomatous prostatitis with multilocular mass on MRI
title_sort xanthogranulomatous prostatitis with multilocular mass on mri
topic granulomatous
prostatic abscess
prostatitis
xanthogranulomatous
xanthoma
url https://doi.org/10.1002/iju5.12791
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AT somaogura xanthogranulomatousprostatitiswithmultilocularmassonmri
AT masafumikusunose xanthogranulomatousprostatitiswithmultilocularmassonmri
AT kosuketakahashi xanthogranulomatousprostatitiswithmultilocularmassonmri
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