Items tagged “prostate”

33 results found
Article

Benign prostatic hyperplasia

Benign prostatic hyperplasia (BPH), also known as benign prostatic enlargement (BPE), is an extremely common condition in elderly men and is a major cause of bladder outflow obstruction.  Terminology The term benign prostatic hypertrophy was formerly used for this condition, but since there is...
Article

Prostate cancer (staging)

Prostate cancer staging takes into account a TNM staging system (primary site, nodal and distant metastases), pretreatment PSA and histological grading. The Gleason score is used to determine the Grade Group.  A superseded staging system is the Whitmore-Jewett staging system. Additionally, the...
Article

Prostate cancer

Prostate cancer ranks as the most common primary malignant tumor in men and the second most common cause of cancer-related deaths in men. Prostatic adenocarcinoma is by far the most common histological type and is the primary focus of this article. Epidemiology It is primarily a disease of the...
Article

Primary prostatic malignant melanoma

Primary melanoma of the prostate is rare, and usually cannot be diagnosed on imaging alone. In many cases, it is believed that in fact, the tumor represents prostatic involvement by melanoma of the urethra. Epidemiology Primary malignant melanoma of the prostate represents both a tiny fraction...
Article

Tumors of the male urethra

Tumors of the male urethra are uncommon. They can be categorized both on the grounds of histology and location. Histology squamous cell carcinoma of the urethra: 80% urothelial/transitional cell carcinoma of the urethra: 15% (predominantly posterior urethra) adenocarcinoma of the urethra: 5%...
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Primary urethral malignant melanoma

Melanoma of the urethra is a very rare tumor of the male urethra and often presents as an invasive prostatic mass. As such it is usually referred to as primary prostatic malignant melanoma.
Article

Prostate sarcoma

Prostate sarcomas are an uncommon and heterogeneous group of tumors arising from mesenchymal cells in and around the prostate (as opposed to the more common prostate adenocarcinoma which derives from the glandular tissue).  Pathology In children, the most common tumor type is a prostatic rhabd...
Article

Prostatic calcification

Prostatic calcifications are a common finding in the prostate gland, especially after the age of 50. They may be solitary but usually occur in clusters 7. Epidemiology They are rare in children, infrequent below age 40, and common in those over 50. Their number and size increase with age 8. Re...
Article

Prostatic artery embolization

Prostatic artery embolization (PAE) is a minimally invasive procedure utilized to treat benign prostatic hyperplasia (BPH).  Indications PAE has been used for controlling prostatic hemorrhage (such as that associated prostate cancer) since 1970. However, its use in the treatment of lower urina...
Article

Ejaculatory duct cyst

Ejaculatory duct cysts are a rare type of cyst of the prostate gland. Pathology They occur due to obstruction of the ejaculatory duct which in turn can either be congenital or secondary (e.g. inflammation). They are usually intraprostatic when small but may extend cephalad when large. Radiog...
Article

Hematuria (adult)

Hematuria occurs when blood enters the urinary collecting system and is excreted in the urine. There are many etiologies for hematuria, and they range from benign and transient to gravely concerning. Hematuria can derive from the kidneys, ureters, bladder, prostate (in men), or urethra. Imaging ...
Article

Transurethral resection of the prostate

Transurethral resection of the prostate (TURP) is a traditional therapy for lower urinary tract symptoms (LUTS) and prostatism from benign prostatic hyperplasia. Transurethral resection of the prostate results in characteristic imaging features. Indications acute urinary retention recurrent u...
Article

Prostate specific antigen

Prostate specific antigen (PSA) is currently used as a tumor marker for prostate adenocarcinoma. PSA is a 33 kilodalton glycoprotein produced in prostate epithelial cells. Its normal physiologic role is as a liquefying agent for seminal fluid; only a tiny amount leaks into the blood, therefore ...
Article

Chronic prostatitis

Chronic prostatitis is a heterogeneous condition characterized by chronic inflammation of the prostate gland. Under the National Institutes of Health (NIH) classification system this may encompass chronic bacterial prostatitis chronic prostatitis and chronic pelvic pain syndrome (CPPS) Other...
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Prostatic tuberculosis

Prostatic tuberculosis or tuberculous prostatitis is an uncommon extrapulmonary manifestation of Mycobacterium tuberculosis infection. This is sometimes classified a sub type of granulomatous prostatitis. Epidemiology Primary tuberculosis of the prostate is rare. Genitourinary tuberculosis con...
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PSA density

The PSA density (PSAD) is a calculation performed at diagnosis and is the serum prostate specific antigen (PSA) level (ng/mL) divided by the volume of the prostate gland (mL), resulting in a value with the units, ng/mL2 1. Prostate volume is calculated from TRUS measurements 2,3.  Alternatively...
Article

Brachytherapy seed migration to the lung

Brachytherapy seed migration to the lung is a known complication of radioactive seed therapy. These seeds are used for localized treatment of malignancies, most commonly prostate cancer. Regarding staging, nearly 79% of the cases are localized, 12% are regional and 5% present with distant disea...
Article

Leiomyosarcoma of the prostate

Leiomyosarcoma of the prostate is a rare mesenchymal smooth muscle malignancy of the prostate gland. Epidemiology It is a rare tumor with less than 200 cases reported in the literature accounting for approximately 25% of all sarcomas of the prostate gland and less than 0.1% of primary prostate...
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Sarcomatoid carcinoma of the prostate

Sarcomatoid carcinoma of the prostate is a rare malignant prostatic tumor variant usually composed of both malignant glandular cells and spindle cells. Terminology Sarcomatoid carcinoma of the prostate is also known as carcinosarcoma, metaplastic carcinoma or spindle cell carcinoma of the pros...
Article

Prostate imaging recurrence reporting

Prostate imaging recurrence reporting (PI-RR) or prostate MRI for local recurrence reporting is a structured reporting scheme similar to the Prostate Imaging-Reporting and Data System (PIRADS) v2.1 on multiparametric prostate MRI for the detection of local recurrence after radical prostatectomy ...

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