Prostate cancer differential diagnosis: Difference between revisions

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__NOTOC__
__NOTOC__
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Prostate_cancer]]
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Prostate_cancer]]
{{CMG}} {{AE}} {{sali}}
{{CMG}} {{AE}} {{sali}} {{HK}} {{ADS}}  
==Overview==
==Overview==
Prostate cancer must be differentiated from [[benign prostatic hypertrophy]], [[renal cancer]], [[renal stones]], [[bladder cancer]], and [[cystitis]].
Prostate cancer must be differentiated from [[benign prostatic hypertrophy]], [[renal cancer]], [[renal stones]], [[bladder cancer]], and [[cystitis]].
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*[[Prostatitis]]
*[[Prostatitis]]
*[[Pyelonephritis]]
*[[Pyelonephritis]]
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[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Kidney_stone]]
{{CMG}}; {{AE}} {{HK}} {{ADS}}


Nephrolithiasis should be differentiated from other conditions presenting with [[Flank pain|acute flank]] or [[upper abdominal pain]], [[hematuria]], [[nausea and vomiting]]. The differentials include the following:<ref name="pmid18486720">{{cite journal |vauthors=Worcester EM, Coe FL |title=Nephrolithiasis |journal=Prim. Care |volume=35 |issue=2 |pages=369–91, vii |date=June 2008 |pmid=18486720 |pmc=2518455 |doi=10.1016/j.pop.2008.01.005 |url=}}</ref><ref name="pmid21789078">{{cite journal |vauthors=Semins MJ, Matlaga BR |title=Medical evaluation and management of urolithiasis |journal=Ther Adv Urol |volume=2 |issue=1 |pages=3–9 |date=February 2010 |pmid=21789078 |pmc=3126068 |doi=10.1177/1756287210369121 |url=}}</ref><ref name="pmid28764263">{{cite journal |vauthors=Venkatesh L, Hanumegowda RK |title=Acute Pyelonephritis - Correlation of Clinical Parameter with Radiological Imaging Abnormalities |journal=J Clin Diagn Res |volume=11 |issue=6 |pages=TC15–TC18 |date=June 2017 |pmid=28764263 |pmc=5535453 |doi=10.7860/JCDR/2017/27247.10033 |url=}}</ref><ref name="pmid17375337">{{cite journal |vauthors=Garin EH, Olavarria F, Araya C, Broussain M, Barrera C, Young L |title=Diagnostic significance of clinical and laboratory findings to localize site of urinary infection |journal=Pediatr. Nephrol. |volume=22 |issue=7 |pages=1002–6 |date=July 2007 |pmid=17375337 |doi=10.1007/s00467-007-0465-7 |url=}}</ref><ref name="pmid19399273">{{cite journal |vauthors=Lee DG, Jeon SH, Lee CH, Lee SJ, Kim JI, Chang SG |title=Acute pyelonephritis: clinical characteristics and the role of the surgical treatment |journal=J. Korean Med. Sci. |volume=24 |issue=2 |pages=296–301 |date=April 2009 |pmid=19399273 |pmc=2672131 |doi=10.3346/jkms.2009.24.2.296 |url=}}</ref><ref name="pmid22969301">{{cite journal |vauthors=Saeed K |title=Renal infarction |journal=Int J Nephrol Renovasc Dis |volume=5 |issue= |pages=119–23 |date=2012 |pmid=22969301 |pmc=3437809 |doi=10.2147/IJNRD.S33768 |url=}}</ref><ref name="pmid24812524">{{cite journal |vauthors=Mahamid M, Francis A, Abid A, Awawde M, Abu-Elhija O |title=Embolic renal infarction mimicking renal colic |journal=Int J Nephrol Renovasc Dis |volume=7 |issue= |pages=157–9 |date=2014 |pmid=24812524 |pmc=4011809 |doi=10.2147/IJNRD.S59745 |url=}}</ref><ref name="pmid12389340">{{cite journal |vauthors=Korzets Z, Plotkin E, Bernheim J, Zissin R |title=The clinical spectrum of acute renal infarction |journal=Isr. Med. Assoc. J. |volume=4 |issue=10 |pages=781–4 |date=October 2002 |pmid=12389340 |doi= |url=}}</ref><ref name="pmid12512867">{{cite journal |vauthors=Brix AE |title=Renal papillary necrosis |journal=Toxicol Pathol |volume=30 |issue=6 |pages=672–4 |date=2002 |pmid=12512867 |doi=10.1080/01926230290166760 |url=}}</ref><ref name="pmid7038374">{{cite journal |vauthors=Eknoyan G, Qunibi WY, Grissom RT, Tuma SN, Ayus JC |title=Renal papillary necrosis: an update |journal=Medicine (Baltimore) |volume=61 |issue=2 |pages=55–73 |date=March 1982 |pmid=7038374 |doi= |url=}}</ref><ref name="pmid18806169">{{cite journal |vauthors=Ng CS, Wood CG, Silverman PM, Tannir NM, Tamboli P, Sandler CM |title=Renal cell carcinoma: diagnosis, staging, and surveillance |journal=AJR Am J Roentgenol |volume=191 |issue=4 |pages=1220–32 |date=October 2008 |pmid=18806169 |doi=10.2214/AJR.07.3568 |url=}}</ref><ref name="pmid15536955">{{cite journal |vauthors=Ares Valdés Y, Amador Sandoval B, Morales JC, Alonso Domínguez F, Carballo Velásquez L, Fragas Valdés R, Shou Rodríguez A |title=[The role of CT scan in the diagnosis of renal cell carcinoma] |language=Spanish; Castilian |journal=Arch. Esp. Urol. |volume=57 |issue=7 |pages=737–42 |date=September 2004 |pmid=15536955 |doi= |url=}}</ref><ref name="pmid20479778">{{cite journal |vauthors=Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N |title=Imaging renal cell carcinoma with ultrasonography, CT and MRI |journal=Nat Rev Urol |volume=7 |issue=6 |pages=311–25 |date=June 2010 |pmid=20479778 |doi=10.1038/nrurol.2010.63 |url=}}</ref><ref name="pmid25393274">{{cite journal |vauthors=Bratt O, Lilja H |title=Serum markers in prostate cancer detection |journal=Curr Opin Urol |volume=25 |issue=1 |pages=59–64 |date=January 2015 |pmid=25393274 |pmc=4315142 |doi=10.1097/MOU.0000000000000128 |url=}}</ref><ref name="urlProstate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024422/ |title=Prostate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health |format= |work= |accessdate=}}</ref>
Nephrolithiasis should be differentiated from other conditions presenting with [[Flank pain|acute flank]] or [[upper abdominal pain]], [[hematuria]], [[nausea and vomiting]]. The differentials include the following:<ref name="pmid18486720">{{cite journal |vauthors=Worcester EM, Coe FL |title=Nephrolithiasis |journal=Prim. Care |volume=35 |issue=2 |pages=369–91, vii |date=June 2008 |pmid=18486720 |pmc=2518455 |doi=10.1016/j.pop.2008.01.005 |url=}}</ref><ref name="pmid21789078">{{cite journal |vauthors=Semins MJ, Matlaga BR |title=Medical evaluation and management of urolithiasis |journal=Ther Adv Urol |volume=2 |issue=1 |pages=3–9 |date=February 2010 |pmid=21789078 |pmc=3126068 |doi=10.1177/1756287210369121 |url=}}</ref><ref name="pmid28764263">{{cite journal |vauthors=Venkatesh L, Hanumegowda RK |title=Acute Pyelonephritis - Correlation of Clinical Parameter with Radiological Imaging Abnormalities |journal=J Clin Diagn Res |volume=11 |issue=6 |pages=TC15–TC18 |date=June 2017 |pmid=28764263 |pmc=5535453 |doi=10.7860/JCDR/2017/27247.10033 |url=}}</ref><ref name="pmid17375337">{{cite journal |vauthors=Garin EH, Olavarria F, Araya C, Broussain M, Barrera C, Young L |title=Diagnostic significance of clinical and laboratory findings to localize site of urinary infection |journal=Pediatr. Nephrol. |volume=22 |issue=7 |pages=1002–6 |date=July 2007 |pmid=17375337 |doi=10.1007/s00467-007-0465-7 |url=}}</ref><ref name="pmid19399273">{{cite journal |vauthors=Lee DG, Jeon SH, Lee CH, Lee SJ, Kim JI, Chang SG |title=Acute pyelonephritis: clinical characteristics and the role of the surgical treatment |journal=J. Korean Med. Sci. |volume=24 |issue=2 |pages=296–301 |date=April 2009 |pmid=19399273 |pmc=2672131 |doi=10.3346/jkms.2009.24.2.296 |url=}}</ref><ref name="pmid22969301">{{cite journal |vauthors=Saeed K |title=Renal infarction |journal=Int J Nephrol Renovasc Dis |volume=5 |issue= |pages=119–23 |date=2012 |pmid=22969301 |pmc=3437809 |doi=10.2147/IJNRD.S33768 |url=}}</ref><ref name="pmid24812524">{{cite journal |vauthors=Mahamid M, Francis A, Abid A, Awawde M, Abu-Elhija O |title=Embolic renal infarction mimicking renal colic |journal=Int J Nephrol Renovasc Dis |volume=7 |issue= |pages=157–9 |date=2014 |pmid=24812524 |pmc=4011809 |doi=10.2147/IJNRD.S59745 |url=}}</ref><ref name="pmid12389340">{{cite journal |vauthors=Korzets Z, Plotkin E, Bernheim J, Zissin R |title=The clinical spectrum of acute renal infarction |journal=Isr. Med. Assoc. J. |volume=4 |issue=10 |pages=781–4 |date=October 2002 |pmid=12389340 |doi= |url=}}</ref><ref name="pmid12512867">{{cite journal |vauthors=Brix AE |title=Renal papillary necrosis |journal=Toxicol Pathol |volume=30 |issue=6 |pages=672–4 |date=2002 |pmid=12512867 |doi=10.1080/01926230290166760 |url=}}</ref><ref name="pmid7038374">{{cite journal |vauthors=Eknoyan G, Qunibi WY, Grissom RT, Tuma SN, Ayus JC |title=Renal papillary necrosis: an update |journal=Medicine (Baltimore) |volume=61 |issue=2 |pages=55–73 |date=March 1982 |pmid=7038374 |doi= |url=}}</ref><ref name="pmid18806169">{{cite journal |vauthors=Ng CS, Wood CG, Silverman PM, Tannir NM, Tamboli P, Sandler CM |title=Renal cell carcinoma: diagnosis, staging, and surveillance |journal=AJR Am J Roentgenol |volume=191 |issue=4 |pages=1220–32 |date=October 2008 |pmid=18806169 |doi=10.2214/AJR.07.3568 |url=}}</ref><ref name="pmid15536955">{{cite journal |vauthors=Ares Valdés Y, Amador Sandoval B, Morales JC, Alonso Domínguez F, Carballo Velásquez L, Fragas Valdés R, Shou Rodríguez A |title=[The role of CT scan in the diagnosis of renal cell carcinoma] |language=Spanish; Castilian |journal=Arch. Esp. Urol. |volume=57 |issue=7 |pages=737–42 |date=September 2004 |pmid=15536955 |doi= |url=}}</ref><ref name="pmid20479778">{{cite journal |vauthors=Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N |title=Imaging renal cell carcinoma with ultrasonography, CT and MRI |journal=Nat Rev Urol |volume=7 |issue=6 |pages=311–25 |date=June 2010 |pmid=20479778 |doi=10.1038/nrurol.2010.63 |url=}}</ref><ref name="pmid25393274">{{cite journal |vauthors=Bratt O, Lilja H |title=Serum markers in prostate cancer detection |journal=Curr Opin Urol |volume=25 |issue=1 |pages=59–64 |date=January 2015 |pmid=25393274 |pmc=4315142 |doi=10.1097/MOU.0000000000000128 |url=}}</ref><ref name="urlProstate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024422/ |title=Prostate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health |format= |work= |accessdate=}}</ref>

Revision as of 16:28, 21 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] Syed Hassan A. Kazmi BSc, MD [3] Amandeep Singh M.D.[4]

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:

Nephrolithiasis should be differentiated from other conditions presenting with acute flank or upper abdominal pain, hematuria, nausea and vomiting. The differentials include the following:[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]

Category Disease Risk factors Symptoms Signs Paraclinical studies
Pain N/V Anorexia Constipation Urinary symptoms Fever HR BP Tenderness Abdominopelvic exam Rectal exam CBC Urinalysis BUN Cr Urine Beta−hCG LFT Serum amylase & lipase CT
Renal Pathology Nephrolithiasis + ± − + − ↑ Nl − Nl Nl Nl Nl Nl − Nl Nl
  • Radiolucent stone
Pyelonephritis + ± − + + ↑ ↓
  • Positive renal punch sign
  • Costovertebral angle tenderness
 Nl Nl Nl Might be + Nl Nl
  • Decreased contrast uptake
  • Foci from abscess pockets
Prostate pathology Prostatitis − − − + + + Nl − Nl − − − Nl Nl
Prostatic cancer − − + − + − − Nl − Nl Nl Nl Nl − Nl Nl

References

  1. ↑ Worcester EM, Coe FL (June 2008). "Nephrolithiasis". Prim. Care. 35 (2): 369–91, vii. doi:10.1016/j.pop.2008.01.005. PMC 2518455. PMID 18486720.
  2. ↑ Semins MJ, Matlaga BR (February 2010). "Medical evaluation and management of urolithiasis". Ther Adv Urol. 2 (1): 3–9. doi:10.1177/1756287210369121. PMC 3126068. PMID 21789078.
  3. ↑ Venkatesh L, Hanumegowda RK (June 2017). "Acute Pyelonephritis - Correlation of Clinical Parameter with Radiological Imaging Abnormalities". J Clin Diagn Res. 11 (6): TC15–TC18. doi:10.7860/JCDR/2017/27247.10033. PMC 5535453. PMID 28764263.
  4. ↑ Garin EH, Olavarria F, Araya C, Broussain M, Barrera C, Young L (July 2007). "Diagnostic significance of clinical and laboratory findings to localize site of urinary infection". Pediatr. Nephrol. 22 (7): 1002–6. doi:10.1007/s00467-007-0465-7. PMID 17375337.
  5. ↑ Lee DG, Jeon SH, Lee CH, Lee SJ, Kim JI, Chang SG (April 2009). "Acute pyelonephritis: clinical characteristics and the role of the surgical treatment". J. Korean Med. Sci. 24 (2): 296–301. doi:10.3346/jkms.2009.24.2.296. PMC 2672131. PMID 19399273.
  6. ↑ Saeed K (2012). "Renal infarction". Int J Nephrol Renovasc Dis. 5: 119–23. doi:10.2147/IJNRD.S33768. PMC 3437809. PMID 22969301.
  7. ↑ Mahamid M, Francis A, Abid A, Awawde M, Abu-Elhija O (2014). "Embolic renal infarction mimicking renal colic". Int J Nephrol Renovasc Dis. 7: 157–9. doi:10.2147/IJNRD.S59745. PMC 4011809. PMID 24812524.
  8. ↑ Korzets Z, Plotkin E, Bernheim J, Zissin R (October 2002). "The clinical spectrum of acute renal infarction". Isr. Med. Assoc. J. 4 (10): 781–4. PMID 12389340.
  9. ↑ Brix AE (2002). "Renal papillary necrosis". Toxicol Pathol. 30 (6): 672–4. doi:10.1080/01926230290166760. PMID 12512867.
  10. ↑ Eknoyan G, Qunibi WY, Grissom RT, Tuma SN, Ayus JC (March 1982). "Renal papillary necrosis: an update". Medicine (Baltimore). 61 (2): 55–73. PMID 7038374.
  11. ↑ Ng CS, Wood CG, Silverman PM, Tannir NM, Tamboli P, Sandler CM (October 2008). "Renal cell carcinoma: diagnosis, staging, and surveillance". AJR Am J Roentgenol. 191 (4): 1220–32. doi:10.2214/AJR.07.3568. PMID 18806169.
  12. ↑ Ares Valdés Y, Amador Sandoval B, Morales JC, Alonso Domínguez F, Carballo Velásquez L, Fragas Valdés R, Shou Rodríguez A (September 2004). "[The role of CT scan in the diagnosis of renal cell carcinoma]". Arch. Esp. Urol. (in Spanish; Castilian). 57 (7): 737–42. PMID 15536955.
  13. ↑ Leveridge MJ, Bostrom PJ, Koulouris G, Finelli A, Lawrentschuk N (June 2010). "Imaging renal cell carcinoma with ultrasonography, CT and MRI". Nat Rev Urol. 7 (6): 311–25. doi:10.1038/nrurol.2010.63. PMID 20479778.
  14. ↑ Bratt O, Lilja H (January 2015). "Serum markers in prostate cancer detection". Curr Opin Urol. 25 (1): 59–64. doi:10.1097/MOU.0000000000000128. PMC 4315142. PMID 25393274.
  15. ↑ "Prostate Cancer (Prostate Carcinoma): Symptoms - National Library of Medicine - PubMed Health".


References

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