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Japanese

A case of nonspecific granulomatous prostatitis confused with sarcoidosis Nobuhiro Haga 1 , Fusao Murakami 1 , Hiroyuki Umeda 1 , Hajime Odajima 1 , Keiichi Shishido 2 , Osamu Yamaguchi 2 1Department of Urology,and Diagnostic Pathology,Ohta-Nishinouchi Hospital 2Department of Urology,Fukushima Medical University Keyword: 肉芽腫性前立腺炎 pp.617-619
Published Date 2004/7/20
DOI https://doi.org/10.11477/mf.1413100581
  • Abstract
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The patient was a 53 year-old male with a chief complaint of voiding difficulty. Since his level of prostatic specific antigen(PSA)was 12.9(ng/ml),prostatic carcinoma was suspected,and prostate biopsy was carried out. The histopathologic examination of the specimen showed,however,non-caseating granulomas. Sarcoidosis in mind,several examinations including laboratory tests,physical findings and radiography were performed,which,however did not suggest the existence of sarcoidosis. In his past medical records,we could not find out any history or evidence of allergic manifestation as well as infectious diseases including tuberculosis. Our final diagnosis was nonspecific granulomatous prostatitis. We decided to follow the patient administeringα1 adrenergic receptor antagonist. His symptom and PSA level were resolved spontaneously. Nonspecific granulomatous prostatitis has clinical significance because of confusion with prostatic carcinoma and sarcoidosis.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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