B-lymphocytic infiltration of the prostate to a patient with chronic lymphocytic leukemia. A case report

Main Article Content

Ioannis Anastasiou
Spyridon Skoufias
Ioannis Katafigiotis *
Ioannis Skarmoutsos
Constantinos A. Constantinides
(*) Corresponding Author:
Ioannis Katafigiotis | katafigiotis.giannis@gmail.com

Abstract

Involvement of the prostate gland, as an early extra-nodal manifestation of a hematologic disease, or as a secondary infiltration is rare. Even rarer is the acute urinary retention due to infiltration by lymphocytes and simultaneously enlarged prostate. We present a case of a 61 years old male patient with a history of chronic lymphocytic leukemia, who was under oncological follow-up with no active treatment and had typical lower urinary tract symptoms due to benign prostatic hyperplasia and was receiving 5-alpha reductase inhibitor. After an acute urinary retention episode which was managed with a suprapubic catheter due to urethral catheter insertion failure, the patient was submitted to a transurethral prostatectomy. Histological examination revealed lymphocytic infiltration of the prostatic parenchyma by mostly small B cells. B-lymphocytic infiltration of the prostate gland, causes symptoms similar to benign prostatic hyperplasia. Acute urinary retention due to B-lymphocytic infiltration of the prostate is rare and the diagnosis is always histological and an oncological re-evaluation is necessary. The prognosis of these patients is related to the generalized disease rather than to the prostatic involvement.

Downloads month by month

Downloads

Download data is not yet available.

Article Details

Most read articles by the same author(s)