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KMID : 0356420110290020174
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Journal of Korean Andrology
2011 Volume.29 No. 2 p.174 ~ p.176
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A Case of Xanthogranulomatous Prostatitis Concurrent with a Prostatic Abscess
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Min Kweon-Sik
Oh Seung-Yeob
Chun Ji-Youn
Um Jea-Doo
Choi Sung-Hyup
Jung Soo-Jin
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Abstract
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Xanthogranulomatous prostatitis is a rare inflammatory condition of the prostate. We report a case of xanthogranulomatous prostatitis. An 82-year-old man presented to our emergency department complaining of gross hematuria. A hard, enlarged, non-tender prostate was palpated on digital rectal examination. Urinalysis showed hematuria and pyuria, and the complete blood count (CBC) revealed leukocytosis. The prostate-specific antigen (PSA) level was elevated at 86.8 ng/ml. Computed tomography (CT) showed an enlarged prostate (volume 100 ml) that protruded into the bladder base. In the left lobe of the prostate, a 1.2×1.1-cm abscess was seen. Transurethral resection of the prostate was done. The pathological diagnosis was xanthogranulomatous prostatitis. The natural progression of the disease is unknown because of the paucity of cases and long-term follow-up reports. To evaluate the pathogenesis and long-term features of progression of this disease, more clinical cases should be collected.
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KEYWORD
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Prostatitis, Granuloma, Urinary tract infections, Hematuria
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