Mischievous malakoplakia: A potential pitfall of mpMRI of the prostate?
| Autor: | Lawrence M. Dagrosa, Bing Ren, John D. Seigne, Michael E. Rezaee, Einar F. Sverrisson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urology 030232 urology & nephrology Malignancy lcsh:RC870-923 Surgical pathology 03 medical and health sciences Prostate cancer 0302 clinical medicine Prostate Multiparametric magnetic resonance imaging Malakoplakia medicine Extraprostatic extension Multiparametric Magnetic Resonance Imaging business.industry Prostate Cancer fungi food and beverages medicine.disease lcsh:Diseases of the genitourinary system. Urology medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Radiology business Benign prostate |
| Zdroj: | Urology Case Reports, Vol 32, Iss, Pp 101222-(2020) Urology Case Reports |
| ISSN: | 2214-4420 |
| Popis: | Interpretation of multiparametric magnetic resonance imaging (mpMRI) for prostate cancer diagnosis and staging can be challenging and, in some cases, benign prostate disease can mimic locally advanced malignancy. We present the case of a 57 year-old male with biopsy-proven Gleason 3 + 4 prostate cancer and a preoperative mpMRI showing extraprostatic extension who was later found to have infiltrating malakoplakia on final surgical pathology. This case highlights the importance of recognizing that malakoplakia of the prostate can present as a PI-RADS 5 lesion with extracapsular extension on mpMRI. Such cases can result in wide-excision, non-nerve sparing radical prostatectomies that may be unwarranted. |
| Databáze: | OpenAIRE |
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