卡介苗灌注后特异性肉芽肿性前列腺炎(附6例报告)

The specific granulomatous prostatitis (report of 6 cases)

目的探讨特异性肉芽肿性前列腺炎的临床特点.方法回顾1985～2001年6例经病理证实的症状性特异性肉芽肿性前列腺炎的资料.结果6例均继发于膀胱内BCG灌注预防浅表性移行性上皮癌.均在肉芽肿内找到抗酸杆菌.2例手术治疗,4例药物治疗.平均随访47.5个月,疗效满意.结论症状性特异性肉芽肿性前列腺炎临床较少见,极易与前列腺癌混淆,应引起重视.其确诊依靠病理检查.

Objective To explore the clinical features of the specific granulomatous prostatitis (SGP). Methods From1985~2001, 6 cases SGP confirmed histologically were retrospectively analysed. Results All 6 cases were followed byintravesical BCG therapy for superficial bladder transitional cell carcinoma (TCC). Acid-fast bacilli (AFB) were identified ingranulomas of all the cases, of which 2 cases undergone surgery and 4 cases with oral drug therapy. The average follow-upduration were 47.5 months with satisfactory results. Conclusion Clinically, the incidence of SGP was very low but easilymistaken with prostatic carcinoma (PC). More attention should be paid to the differential diagnosis and the final diagnosisshould rely on histogical examination.