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首页> 外文期刊>Open access journal of urology. >Xanthogranulomatous prostatitis with prostato-rectal fistula: a case report and review of the literature
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Xanthogranulomatous prostatitis with prostato-rectal fistula: a case report and review of the literature

机译：黄体肉芽肿性前列腺炎合并前列腺直肠瘘：一例病例报告并文献复习

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Purpose: Xanthogranulomatous prostatitis (XP) is a rare form of nonspecific granulomatous prostatitis that can clinically mimic high-grade prostatic carcinoma. It is difficult to diagnose it definitely in clinical settings. Methods: We report a case of XP with prostate-rectal fistula and review the relevant literatures. Result: A 75-year-old man presented with rectal bleeding when he urinated. A locally advanced carcinoma of prostate was suspected initially following the physical, imaging, and hematologic examinations. Subsequently on histopathological and immunohistochemical staining after needle biopsy of the prostate, a diagnosis of XP was made definitely. The patient was catheterized temporarily and treated with tamsulosin and estrogen. The patient underwent uneventful recovery after this conservative therapy. Conclusion: Histologic and immunohistochemical analyses are valuable in differentially diagnosing XP from high-grade prostate carcinoma. Treatment strategy of XP in principle is recommended to be the conservative method. Long-term follow-up earns are highly regarded considering the possibility of coexisting prostate cancer.
机译：目的：黄原体肉芽肿性前列腺炎（XP）是一种罕见的非特异性肉芽肿性前列腺炎，可以在临床上模拟高级前列腺癌。在临床环境中肯定很难诊断出它。方法：我们报道一例前列腺直肠瘘的XP患者，并复习了相关文献。结果：一名75岁的男子小便时出现直肠出血。经过物理，影像学和血液学检查，最初怀疑是局部晚期前列腺癌。随后对前列腺穿刺活检后的组织病理学和免疫组化染色，明确诊断为XP。患者暂时置入导管并用坦洛新和雌激素治疗。保守治疗后患者恢复平稳。结论：组织学和免疫组化分析对鉴别诊断高级前列腺癌的XP具有重要价值。原则上建议XP的治疗策略为保守方法。考虑到并存前列腺癌的可能性，高度重视长期随访收入。

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