title: Dramatic Enlargement of the Prostate due to Xanthogranulomatous Inflammation.
abstract: METHODS
  Xanthogranulomatous inflammation of the prostate is a rare condition that can cause lower urinary tract symptoms and may be mistaken for adenocarcinoma. It is often seen on prostate biopsy, but can usually be treated conservatively with temporary catheterization, alpha blockade, and allowing time for improvement. We present a case of a 78-year-old man found to have a 318 g prostate secondary to xanthogranulomatous inflammation.
  
  
  RESULTS
  After a negative MRI-guided biopsy to rule out malignancy, the patient was treated successfully with open suprapubic prostatectomy with significant improvement in voiding symptoms.
  
  
  CONCLUSIONS
  This case highlights the ability of this clinical and pathologic entity to cause significant prostatic enlargement, how it is diagnosed, and the possible role of surgical therapy in its treatment.
authors.affiliation: Department of Urology, NYU Langone Medical Center, New York, New York, USA.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Wollin
authors.affiliation: Department of Urology, NYU Langone Medical Center, New York, New York, USA.
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: Brucker
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D011467:Prostate / Q000473:pathology*; D011472:Prostatitis / Q000473:pathology; D014973:Xanthomatosis / Q000473:pathology
keywords: benign prostatic hyperplasia; prostate cancer; prostatitis; suprapubic prostatectomy; xanthogranulomatous inflammation