Prostate cancer differential diagnosis: Difference between revisions
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* [[Pyelonephritis]] | * [[Pyelonephritis]] | ||
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Prostate pathology | |||
! align="center" style="background:#DCDCDC;" + |[[Prostatitis]] | |||
| align="left" style="background:#F5F5F5;" + | | |||
* Bacterial infection | |||
* Prior history of [[prostatitis]] | |||
* [[Urinary catheterization]] | |||
| align="left" style="background:#F5F5F5;" + | | |||
* [[Perineal]] pain | |||
* [[Lower back pain]] | |||
* Suprapubic pain | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki> | |||
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki> | |||
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki> | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="left" style="background:#F5F5F5;" + | | |||
* Enlarged [[prostate]] | |||
* [[Rectal pain]] | |||
| align="left" style="background:#F5F5F5;" + | | |||
* [[Leukocytosis]] | |||
| align="left" style="background:#F5F5F5;" + | | |||
* [[Bacteriuria]] | |||
* [[Pyuria]] | |||
* [[Microscopic hematuria]] | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="left" style="background:#F5F5F5;" + | | |||
* Edema of the [[prostate gland]] with diffuse enlargement | |||
|- | |||
! align="center" style="background:#DCDCDC;" + |[[Prostatic cancer]] | |||
| align="left" style="background:#F5F5F5;" + | | |||
* [[Family history]] of [[Prostate cancer|prostate cancer]] | |||
* [[Germline mutation]] of [[HOXB13]] | |||
* Black ethnicity | |||
* Age > 50 years | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki> | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |<nowiki>+</nowiki> | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="left" style="background:#F5F5F5;" + | | |||
* Enlarged [[prostate]] | |||
* Firm and hard | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="left" style="background:#F5F5F5;" + | | |||
* [[Hematuria]] | |||
* Positive [[prostate specific antigen]] | |||
* High levels of [[TMPRSS2]]:ERG and [[PCA3]] | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + |− | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="left" style="background:#F5F5F5;" + | | |||
* Focal areas of mass−like enhancement in the peripheral [[prostate]] | |||
* [[Calcification|Calcifications]] | |||
|- | |||
==References== | ==References== |
Revision as of 19:13, 15 January 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]
Overview
Prostate cancer must be differentiated from benign prostatic hypertrophy, renal cancer, renal stones, bladder cancer, and cystitis.
Differential diagnosis
Prostate cancer must be differentiated from:
- Benign prostatic hypertrophy (BPH)
- Renal cancer
- Renal stones
- Bladder cancer
- Cystitis
- Glomerulonephritis
- Prostatitis
- Pyelonephritis
! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" + |Prostate pathology ! align="center" style="background:#DCDCDC;" + |Prostatitis | align="left" style="background:#F5F5F5;" + |
- Bacterial infection
- Prior history of prostatitis
- Urinary catheterization
| align="left" style="background:#F5F5F5;" + |
- Perineal pain
- Lower back pain
- Suprapubic pain
| align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |+ | align="center" style="background:#F5F5F5;" + |+ | align="center" style="background:#F5F5F5;" + |+ | align="center" style="background:#F5F5F5;" + |Nl | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |Nl | align="left" style="background:#F5F5F5;" + |
- Enlarged prostate
- Rectal pain
| align="left" style="background:#F5F5F5;" + |
| align="left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |Nl | align="center" style="background:#F5F5F5;" + |Nl | align="left" style="background:#F5F5F5;" + |
- Edema of the prostate gland with diffuse enlargement
|- ! align="center" style="background:#DCDCDC;" + |Prostatic cancer | align="left" style="background:#F5F5F5;" + |
- Family history of prostate cancer
- Germline mutation of HOXB13
- Black ethnicity
- Age > 50 years
| align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |+ | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |+ | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |Nl | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |Nl | align="left" style="background:#F5F5F5;" + |
- Enlarged prostate
- Firm and hard
| align="center" style="background:#F5F5F5;" + |Nl | align="left" style="background:#F5F5F5;" + |
- Hematuria
- Positive prostate specific antigen
- High levels of TMPRSS2:ERG and PCA3
| align="center" style="background:#F5F5F5;" + |Nl | align="center" style="background:#F5F5F5;" + |Nl | align="center" style="background:#F5F5F5;" + |− | align="center" style="background:#F5F5F5;" + |Nl | align="center" style="background:#F5F5F5;" + |Nl | align="left" style="background:#F5F5F5;" + |
- Focal areas of mass−like enhancement in the peripheral prostate
- Calcifications
|-