Benign prostate hyperplasia

Case contributed by Dr Ian Bickle

Presentation

PSA level 5. Digital rectal examination - benign feeling prostate. Malignancy?

Patient Data

Age: 75 years
Gender: Male
MRI

Prostate volume 78 mL. PSA density of 0.11ng/mL.

Marked BPH (PIRADS 2).

The peripheral zones are normal. No significant PIRADS abnormality.

Normal seminal vesicles. No size significant pelvic lymphadenopathy. No focal bone lesion.

Right fat-containing inguinal hernia. Sigmoid diverticulosis.

Case Discussion

The prostate gland is markedly enlarged due to benign hyperplasia.  In a gland of this size, the PSA density is therefore low despite the marginally raised PSA level.

The normal appearances of the peripheral zones are well illustrated as well as the zonal anatomy of the prostate gland.

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Case information

rID: 79919
Published: 10th Jul 2020
Last edited: 26th Dec 2020
System: Urogenital
Inclusion in quiz mode: Included

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