Clinical and imaging characteristics of granulomatous prostatitis:Report of 13 cases
10.13263/j.cnki.nja.2025.10.008
- VernacularTitle:肉芽肿性前列腺炎的临床及影像学特点(附13例报告)
- Author:
Jinkai DONG
1
;
Baobo ZHAO
1
;
Shidong ZUO
1
;
Lingsheng KONG
1
;
Chenwei FU
1
;
Xuechao LI
1
;
Lijun CHEN
1
Author Information
1. 解放军总医院第三医学中心泌尿外科学部,北京 100853;解放军总医院第五医学中心泌尿外科,北京 100071
- Publication Type:Journal Article
- Keywords:
granulomatous prostatitis;
prostate cancer;
imaging diagnosis;
prostate biopsy
- From:
National Journal of Andrology
2025;31(10):909-914
- CountryChina
- Language:Chinese
-
Abstract:
Objective The aim of this study is to retrospectively analyze the clinical and imaging characteristics,treatment and prognosis of 13 patients with granulomatous prostatitis(GP),and to provide reference for the diagnosis and treatment for GP.Methods The clinical information of 13 GP patients extracted from electronic medical records including demographic characteristic risk factors,clinical symptoms,laboratory findings,imaging findings(ultrasound,CT,MRI,FDG-PET-CT),treatment and outcomes were analyzed retrospectively from January 2018 to August 2023 at our center.Results The average age of 13 patients with GP was(65.69±6.46)years.And the average score of IPSS was(23.40±5.8).Five patients appeared positive results,of which 11 cases received digital rectal examination.The average level of pre-biopsy tPSA was(23.28±44.94)μg/L with fPSA/tPSA ratio of 0.11±0.05 and PSAD of(0.55±1.07)μg/l/mL.The pre-biopsy mean MRI PI-RADS 2.0 was(4.6±0.6)in this group of patients.Extraprostatic invasion was shown on imaging in 4 patients.The average number of biopsy needles was(19.6±3.9),and the pathological results showed tuber-culous granulomas in 2 cases(15.4％)and non-specific granulomatous inflammation in 11 cases(84.6％).Five patients received local treatment of the prostate after pathological confirmation(PVP in 4 cases,TURP in 1 case),2 patients re-ceived anti-tuberculosis therapy,and 3 cases were given antibiotics.Average follow-up was(20.6±11.2)months,and the average tPSA were(6.94±4.96)μg/L at 3-6 months after biopsy and/or surgery,with no obvious signs of malignancy during the follow-up period.Conclusion GP is the great mimicker of prostate cancer clinically and radiologically.Pros-tate biopsy is the method for confirming the diagnosis.For patients who are considering biopsy-free radical prostatectomy,it is important to consider the possibility of GP.
