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Nodular Histiocytic Prostatitis: A Case Report and Literature Review
結節狀組織球前列腺炎：一病例報告及文獻回顧
摘要
Nodular histiocytic prostatitis is a rare benign prostatic inflammatory lesion. It is usually diagnosed as prostate cancer before operation because it is generally associated with an elevation in serum PSA levels. We describe a 63-year-old man with significant LUTS and a high serum PSA level (60.6 ng/mL). The primary clinical consideration was prostate carcinoma. However, the final pathological diagnosis was nodular histiocytic prostatitis. One and a half months after the operation, the patient's serum PSA level decreased to 0.1 ng/ml. The recognition of this rare phenomenon is important in avoiding unnecessary radical surgical procedures.
並列摘要
一位63歲男性無系統性疾病史，在2009年時病理診斷患有良性結節狀前列腺增生，大約最近一年開始有尿急、尿顏、排尿困難及尿痛現象，最近四個月內發生兩次急性尿滯留及血尿現象，因此病人到泌尿科門診求助，建議病人住院進一步檢查急治療。理學檢查發現前列腺成結節狀且較硬，約80克，血中PSA值為60.6 ng/mL，其它檢查包括尿液，白血球及體溫均正常。在臨床診斷為前列腺癌下，病患接受達文西機械手臂協助前列腺根除手術，病理診斷結節狀組織球前列腺炎。結節狀組織球前列腺炎是一非常少見的良性前列腺發炎病變，因為此病變會合併血中PSA值上升，所以在開刀前常被診斷為前列腺癌。病人在開刀後一個半月抽血檢查血中PSA值降到0.1 ng/ml。認識此一少見的良性病變是非常重要，以避免過度的外科手術治療。
並列關鍵字
結節狀組織球前列腺炎延伸閱讀
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