Xanthogranulomatous prostatitis with prostato-rectal fistula: a case report and review of the literature

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. We report a case of XP with prostate-rectal fistula and review the relevant literatur...

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Bibliographic Details
Published in:Research and reports in urology 2016-01, Vol.8, p.165-168
Main Authors: Xing, Liyong, Liu, Zhifei, Deng, Gang, Wang, Huan, Zhu, Yanfeng, Shi, Peng, Huo, Bingyue, Li, Yindong
Format: Article
Language:English
Subjects:
Antigens
Case Report
Case reports
Family medical history
Fistula
Gallbladder
Inflammation
NMR
Nuclear magnetic resonance
Prostate cancer
Prostate-rectal fistula
Radiation therapy
Ultrasonic imaging
Urogenital system
Urology
Xanthogranulomatous prostatitis
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Summary: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. We report a case of XP with prostate-rectal fistula and review the relevant literatures. 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. 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.
ISSN:2253-2447
2253-2447
DOI:10.2147/RRU.S110658