Malakoplakia of the prostate masquerading as locally advanced prostate cancer on mpMRI

Authors

  • Robert Thomas Dale University of British Columbia
  • Michael Metcalfe
  • Silvia Chang UBC Dept. of Radiology
  • Edward Jones UBC Dept of Pathology and Laboratory Science
  • Peter Black UBC Dept. of Urologic Sciences

DOI:

https://doi.org/10.5489/cuaj.3235

Abstract

A 66-year-old man was referred for urological evaluation for an abnormal digital rectal exam (cT2a, subtle nodule at left base, 121 cc prostate) and an elevated prostate specific antigen (PSA) of 8.0 ng/ml. Subsequent 12-core transrectal ultrasound (TRUS)- guided biopsy revealed Gleason 3+4 adenocarcinoma in seven of 12 cores, including all six cores on the right side and one core at the left apex. No extraprostatic extension was identified. Postbiopsy, the patient developed urinary retention requiring a catheter, as well as an Escherichia coli (E. coli) urinary tract infection (UTI) requiring hospitalization and intravenous antibiotics.

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Author Biography

Robert Thomas Dale, University of British Columbia

PGY-2 at UBC Dept. of Urologic Sciences.

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Published

2015-12-14

How to Cite

Dale, R. T., Metcalfe, M., Chang, S., Jones, E., & Black, P. (2015). Malakoplakia of the prostate masquerading as locally advanced prostate cancer on mpMRI. Canadian Urological Association Journal, 9(11-12), E910–2. https://doi.org/10.5489/cuaj.3235