When Tuberculosis Mimics Prostate Cancer
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By
January 15, 2026
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3 min
A 69-year-old male presented with acute urinary retention and an enlarged prostate, leading to elevated PSA levels and a subsequent prostatic adenomectomy. Histopathological analysis revealed adenomyomatous hyperplasia and caseous granulomas, resulting in a diagnosis of prostatic tuberculosis. This case underscores the diagnostic challenge, as prostatic tuberculosis can closely resemble prostate cancer. The experience highlights the necessity of histopathological evaluation to avoid mismanagement and inappropriate cancer treatments.
1. 69-year-old male with acute urinary retention and enlarged prostate. 2. Elevated serum PSA at 27 ng/mL. 3. Histopathological findings include adenomyomatous hyperplasia and caseous granulomas. 4. Diagnosis: prostatic tuberculosis mimicking prostate cancer. 5. Importance of histopathological evaluation to avoid mismanagement. 6. Treatment involved antituberculous chemotherapy. 7. PCR testing enhances diagnostic sensitivity.
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