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Medicine (Baltimore) ; 102(47): e36172, 2023 Nov 24.
Artículo en Inglés | MEDLINE | ID: mdl-38013327

RESUMEN

RATIONALE: Prostate tuberculosis (PTB) has no specific symptoms, or insidious presentation in male reproductive system tuberculosis, and is difficult to detect in the early stage. When PTB develops to the late stage, it leads to disease progression and irreversible organ and tissue damage. At present, the imaging manifestations of prostate tuberculosis vary and are not well known to imaging physicians and urologists. DIAGNOSES AND INTERVENTIONS: This case was a PTB patient, whose main manifestation was elevated serum prostate-specific antigen and the diagnosis was confirmed by ultrasound-guided prostate biopsy. We analyzed the imaging performance of various imaging techniques, and summarized and explored the imaging characteristics reported in the previous literature, with the aim of improving the early detection rate and providing evidence-based practice for early regular antituberculosis treatment in PTB. OUTCOMES: The multiparametric transrectal ultrasound performance of PTB is characteristic, and can be used for the differential diagnosis of prostate cancer causing elevated prostate-specific antigen levels in aged men.


Asunto(s)
Neoplasias de la Próstata , Prostatitis , Tuberculosis de los Genitales Masculinos , Humanos , Masculino , Anciano , Próstata/diagnóstico por imagen , Próstata/patología , Antígeno Prostático Específico , Imagen por Resonancia Magnética/métodos , Biopsia Guiada por Imagen/métodos , Neoplasias de la Próstata/patología , Tuberculosis de los Genitales Masculinos/diagnóstico , Tuberculosis de los Genitales Masculinos/tratamiento farmacológico
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