Xanthogranulomatous prostatitis: Rare presentation of rare disease

Abstract

Granulomatous inflammation of the prostate is a rare type of inflammation of the prostate. It is of various types, with the non-specific type of granulomatous inflammation being the most common. Xanthogranulomatous prostatitis is a rare type of granulomatous prostatitis of which very few cases have been reported. Histologically it is characterized by the presence of pale-looking foamy macrophages. It can be an incidental finding after transurethral resection of the prostate (TURP), although it may mimic prostatic malignancy clinically, biochemically, and rarely histologically. We report a rare case of xanthogranulomatous prostatitis which presented as a prostatic abscess, a presentation never reported in literature so far. The patient was managed with TURP.

Xanthogranulomatous prostatitis: A rare mimicker of prostate adenocarcinoma

“…Xanthogranulomatous prostatitis is indeed a rare entity and rare mimicker of prostate adenocarcinoma . The clinical and sonographic findings in this case were highly suggestive of prostate adenocarcinoma as reported on the initial histopathology assessment.…”

“…In the literature, it may be described alone or with another concomitant condition. Xanthogranulomatous prostatitis has been reported associated with prostatic abscess . Ultrasound in this case did not reveal any abscess and the patient did not have any signs or symptoms suggestive of an abscess.…”

“…It is a very infrequent histopathological entity. The most common xanthogranulomatous inflammations are seen in the kidneys and gallbladder . Interestingly, the prostatic one though rare can mimic prostate adenocarcinoma .…”

Xanthogranulomatous Prostatitis, a Rare Prostatic Entity

“…Xanthogranulomatous prostatitis is considered among those pathologies and can clinically behave as a prostatic carcinoma. The first case report and description of this pathology was made in Poland by Miekoś et al 1 in 1986, and 15 cases have been reported in worldwide literature since, the most recent ones in India 2 and South Korea 3 . In this article, we present a case report of a patient with clinical suspicion of prostatic carcinoma and histopathological report of xanthogranulomatous prostatitis.…”

Xanthogranulomatous Prostatitis Presenting as a Prostatic Abscess: Case Report and Review of Literature

“…Prostatic abscess resulting as a result of xanthogranulomatous prostatitis is even more uncommon: so far only one case has been reported in the literature [2]. Different types of granulomatous inflammation have been described but the exact aetiology of xanthogranulomatous prostatitis is unknown.…”