Difference between revisions of "Prostate gland"

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Prostate gland (view source)

Revision as of 16:15, 22 February 2014

2,124 bytes removed ,  16:15, 22 February 2014
→‎Prostatic nodular hyperplasia: split out
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*AKA ''benign prostatic hypertrophy''.
*AKA ''benign prostatic hypertrophy''.
**This is a misnomer. It is ''not'' a hypertrophy.
**This is a misnomer. It is ''not'' a hypertrophy.
 
{{Main|Nodular hyperplasia of the prostate}}
===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).
 
===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)
Image:Urethral_urothelial_cell_carcinoma.jpg | UCC. (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>


==Acute inflammation of the prostate gland==
==Acute inflammation of the prostate gland==
Michael
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