title: Malakoplakia of the prostate masquerading as locally advanced prostate cancer on mpMRI.
abstract: A 66-year-old man was referred for urological evaluation for an abnormal digital rectal exam (cT2a, subtle nodule at left base, 121 cc prostate) and an elevated prostate specific antigen (PSA) of 8.0 ng/ml. Subsequent 12-core transrectal ultrasound (TRUS)-guided biopsy revealed Gleason 3+4 adenocarcinoma in seven of 12 cores, including all six cores on the right side and one core at the left apex. No extraprostatic extension was identified. Post-biopsy, the patient developed urinary retention requiring a catheter, as well as an Escherichia coli (E. coli) urinary tract infection (UTI) requiring hospitalization and intravenous antibiotics.
authors.affiliation: Department of Urologic Sciences, University of British Columbia (UBC);
authors.forename: Robert Thomas
authors.initials: RT
authors.lastname: Dale
authors.affiliation: Department of Urologic Sciences, University of British Columbia (UBC);
authors.forename: Michael
authors.initials: M
authors.lastname: Metcalfe
authors.affiliation: Department of Radiology, UBC;
authors.forename: Silvia
authors.initials: S
authors.lastname: Chang
authors.affiliation: Department of Pathology and Laboratory Science, UBC; Vancouver, BC, Canada.
authors.forename: Edward
authors.initials: E
authors.lastname: Jones
authors.affiliation: Department of Urologic Sciences, University of British Columbia (UBC);
authors.forename: Peter
authors.initials: P
authors.lastname: Black
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