Nodular hyperplasia of the prostate - Revision history

Michael: redirect

2014-02-22T16:16:39Z

redirect

← Older revision		Revision as of 16:16, 22 February 2014
Line 1:		Line 1:
	~~'''Nodular hyperplasia of the prostate''', also '''benign prostatic hyperplasia''' (abbreviated '''BPH'''), is a common benign pathology of the~~ [[~~prostate gland]].~~		#redirect [[Nodular hyperplasia of the prostate gland]]

	~~it is also known as '''prostatic nodular~~ hyperplasia~~'''. Occasionally, it is referred to as~~
	~~'''benign prostatic hypertrophy'''; this is a misnomer. This pathology is ''not'' a hypertrophy.~~

	~~==General==~~
	*Very common.
	*Incidence increases with age.

	~~Clinical - mnemonic ''I WISH 2p'':<ref>{{Ref TN2006\| U5}}</ref>~~
	*Intermittency.
	*Weak stream.
	*Incomplete emptying.
	*Straining.
	*Hesitancy.
	*Post-void dribbling.
	*Prolonged voiding.

	~~Treatment:~~
	*Medications.
	*Transurethral resection of the prostate (TURP).

	~~==Gross==~~
	*Enlargement of the prostate.
	*Nodularity of the prostate.

	~~==Microscopic==~~
	~~Features:~~
	*Stromal and/or glandular hyperplasia.

	~~Note:~~
	*Should '''not''' be diagnosed on core biopsy!

	~~DDx:~~
	*[[Urothelial carcinoma]] - significant nuclear atypia.

	~~===Images===~~
	~~<gallery>~~
	~~Image:Nodular_hyperplasia_of_the_prostate.jpg \| Prostatic nodular hyperplasia. (WC/Nephron)~~
	~~</gallery>~~

	~~==Sign out==~~
	~~===Urothelium present===~~
	~~<pre>~~
	~~PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP):~~
	~~- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION.~~
	~~- UROTHELIAL MUCOSA WITH A MILD LYMPHOCYTIC INFILTRATE.~~
	~~- NEGATIVE FOR MALIGNANCY.~~
	~~</pre>~~

	~~<pre>~~
	~~PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) AND URINARY BLADDER NECK:~~
	~~- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION.~~
	~~- UROTHELIUM WITH THE CHANGES OF CYSTITIS CYSTICA ET GLANDULARIS.~~
	~~- NEGATIVE FOR MALIGNANCY.~~
	~~</pre>~~

	~~<pre>~~
	~~PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) AND URINARY BLADDER NECK:~~
	~~- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION, AND FOCAL~~
	~~ACUTE AND CHRONIC INFLAMMATION.~~
	~~- UROTHELIUM WITH THE CHANGES OF CYSTITIS CYSTICA ET GLANDULARIS.~~
	~~- NEGATIVE FOR MALIGNANCY.~~
	~~</pre>~~

	~~===No urothelium present===~~
	~~<pre>~~
	~~PROSTATE GLAND, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP):~~
	~~- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION.~~
	~~</pre>~~

	~~===Post-TURP granuloma present===~~
	~~<pre>~~
	~~PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP):~~
	~~- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION WITH~~
	~~PROMINENT BLOOD VESSELS AND SQUAMOUS METAPLASIA.~~
	~~- PALISADING GRANULOMA WITH NECROTIC CORE, SEE COMMENT.~~
	~~- UROTHELIAL MUCOSA WITH A MILD INFLAMMATORY INFILTRATE.~~
	~~- NEGATIVE FOR MALIGNANCY.~~

	~~COMMENT:~~
	~~This is morphologically consistent with a post-TURP granuloma.~~
	~~</pre>~~

	~~==See also==~~
	*[[Prostate gland]].

	~~==References==~~
	~~{{Reflist\|2}}~~

	~~[[Category:Prostate~~ gland]]

Michael: split out

2014-02-22T16:14:28Z

split out

← Older revision		Revision as of 16:14, 22 February 2014
Line 1:		Line 1:
	~~#redirect~~ [[~~Prostate_gland#Prostatic_nodular_hyperplasia~~]]		'''Nodular hyperplasia of the prostate''', also '''benign prostatic hyperplasia''' (abbreviated '''BPH'''), is a common benign pathology of the [[prostate gland]].

			it is also known as '''prostatic nodular hyperplasia'''. Occasionally, it is referred to as
			'''benign prostatic hypertrophy'''; this is a misnomer. This pathology is ''not'' a hypertrophy.

			==General==
			*Very common.
			*Incidence increases with age.

			Clinical - mnemonic ''I WISH 2p'':<ref>{{Ref TN2006\| U5}}</ref>
			*Intermittency.
			*Weak stream.
			*Incomplete emptying.
			*Straining.
			*Hesitancy.
			*Post-void dribbling.
			*Prolonged voiding.

			Treatment:
			*Medications.
			*Transurethral resection of the prostate (TURP).

			==Gross==
			*Enlargement of the prostate.
			*Nodularity of the prostate.

			==Microscopic==
			Features:
			*Stromal and/or glandular hyperplasia.

			Note:
			*Should '''not''' be diagnosed on core biopsy!

			DDx:
			*[[Urothelial carcinoma]] - significant nuclear atypia.

			===Images===
			<gallery>
			Image:Nodular_hyperplasia_of_the_prostate.jpg \| Prostatic nodular hyperplasia. (WC/Nephron)
			</gallery>

			==Sign out==
			===Urothelium present===
			<pre>
			PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP):
			- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION.
			- UROTHELIAL MUCOSA WITH A MILD LYMPHOCYTIC INFILTRATE.
			- NEGATIVE FOR MALIGNANCY.
			</pre>

			<pre>
			PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) AND URINARY BLADDER NECK:
			- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION.
			- UROTHELIUM WITH THE CHANGES OF CYSTITIS CYSTICA ET GLANDULARIS.
			- NEGATIVE FOR MALIGNANCY.
			</pre>

			<pre>
			PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) AND URINARY BLADDER NECK:
			- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION, AND FOCAL
			ACUTE AND CHRONIC INFLAMMATION.
			- UROTHELIUM WITH THE CHANGES OF CYSTITIS CYSTICA ET GLANDULARIS.
			- NEGATIVE FOR MALIGNANCY.
			</pre>

			===No urothelium present===
			<pre>
			PROSTATE GLAND, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP):
			- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION.
			</pre>

			===Post-TURP granuloma present===
			<pre>
			PROSTATE TISSUE, TRANSURETHRAL RESECTION OF THE PROSTATE (TURP):
			- BENIGN PROSTATIC TISSUE WITH GLANDULAR AND STROMAL PROLIFERATION WITH
			PROMINENT BLOOD VESSELS AND SQUAMOUS METAPLASIA.
			- PALISADING GRANULOMA WITH NECROTIC CORE, SEE COMMENT.
			- UROTHELIAL MUCOSA WITH A MILD INFLAMMATORY INFILTRATE.
			- NEGATIVE FOR MALIGNANCY.

			COMMENT:
			This is morphologically consistent with a post-TURP granuloma.
			</pre>

			==See also==
			*[[Prostate gland]].

			==References==
			{{Reflist\|2}}

			[[Category:Prostate gland]]

Michael: another redirect

2012-10-07T23:58:25Z

another redirect

New page

#redirect [[Prostate_gland#Prostatic_nodular_hyperplasia]]