A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic Region
A male in his 60s presented with a four-month history of dysuria and lower urinary tract symptoms (LUTS). He had a history of elevated PSA and benign prostatic hyperplasia (BPH), previously treated with transurethral resection of the prostate (TURP). Multiparametric MRI (MP-MRI) revealed a PI-RADS 5...
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MDPI AG
2025-05-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/10/5/145 |
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| author | Yonathan William Marto Sugiono Patricia Diana Prasetiyo Adelbertus Erico Gilbert Sterling Octavius |
| author_facet | Yonathan William Marto Sugiono Patricia Diana Prasetiyo Adelbertus Erico Gilbert Sterling Octavius |
| author_sort | Yonathan William |
| collection | DOAJ |
| description | A male in his 60s presented with a four-month history of dysuria and lower urinary tract symptoms (LUTS). He had a history of elevated PSA and benign prostatic hyperplasia (BPH), previously treated with transurethral resection of the prostate (TURP). Multiparametric MRI (MP-MRI) revealed a PI-RADS 5 lesion, raising suspicion of malignancy. However, histopathological analysis from MRI fusion-targeted biopsies confirmed tuberculous prostatitis. The patient was treated with antituberculosis drugs, resulting in symptomatic improvement and a significant PSA decline. This case highlights the diagnostic challenge of distinguishing tuberculous prostatitis from prostate cancer, particularly in tuberculosis-endemic regions. Our literature review reveals that patients with tuberculous prostatitis undergoing MRI are at least 50 years old, originate from endemic areas, and exhibit PI-RADS scores ranging from 2 to 5, indicating inter-rater variability. Histopathological confirmation remains essential in cases with ambiguous imaging and clinical findings. |
| format | Article |
| id | doaj-art-d366dd2dc5004fb7ba3aee8651f094f2 |
| institution | Kabale University |
| issn | 2414-6366 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj-art-d366dd2dc5004fb7ba3aee8651f094f22025-08-20T03:47:58ZengMDPI AGTropical Medicine and Infectious Disease2414-63662025-05-0110514510.3390/tropicalmed10050145A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic RegionYonathan William0Marto Sugiono1Patricia Diana Prasetiyo2Adelbertus Erico3Gilbert Sterling Octavius4Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, IndonesiaSiloam Hospital Kebon Jeruk, Jakarta 11530, IndonesiaPathology Anatomy, Faculty of Universitas Pelita Harapan, Tangerang 15811, IndonesiaDepartment of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, IndonesiaDepartment of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, IndonesiaA male in his 60s presented with a four-month history of dysuria and lower urinary tract symptoms (LUTS). He had a history of elevated PSA and benign prostatic hyperplasia (BPH), previously treated with transurethral resection of the prostate (TURP). Multiparametric MRI (MP-MRI) revealed a PI-RADS 5 lesion, raising suspicion of malignancy. However, histopathological analysis from MRI fusion-targeted biopsies confirmed tuberculous prostatitis. The patient was treated with antituberculosis drugs, resulting in symptomatic improvement and a significant PSA decline. This case highlights the diagnostic challenge of distinguishing tuberculous prostatitis from prostate cancer, particularly in tuberculosis-endemic regions. Our literature review reveals that patients with tuberculous prostatitis undergoing MRI are at least 50 years old, originate from endemic areas, and exhibit PI-RADS scores ranging from 2 to 5, indicating inter-rater variability. Histopathological confirmation remains essential in cases with ambiguous imaging and clinical findings.https://www.mdpi.com/2414-6366/10/5/145prostatic tuberculosisprostate cancermagnetic resonance imaging |
| spellingShingle | Yonathan William Marto Sugiono Patricia Diana Prasetiyo Adelbertus Erico Gilbert Sterling Octavius A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic Region Tropical Medicine and Infectious Disease prostatic tuberculosis prostate cancer magnetic resonance imaging |
| title | A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic Region |
| title_full | A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic Region |
| title_fullStr | A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic Region |
| title_full_unstemmed | A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic Region |
| title_short | A Case Report and Literature Review of Prostatic Tuberculosis Masquerading as Prostate Cancer: A Diagnostic Challenge in a Tuberculosis-Endemic Region |
| title_sort | case report and literature review of prostatic tuberculosis masquerading as prostate cancer a diagnostic challenge in a tuberculosis endemic region |
| topic | prostatic tuberculosis prostate cancer magnetic resonance imaging |
| url | https://www.mdpi.com/2414-6366/10/5/145 |
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