Code |
Diagnosis |
Comment |
Score |
anonymous |
Prostate - nodular hyperplasia and iatrogenic granuloma (100%)
|
Please look for clinical history of recent transurethral resection.
|
100 |
anonymous |
Basal cell hyperplasia and focal granulomatous inflammation. 100%
|
The granulomatous inflammation may represent previous needle biopsy tract or infection. Ziehl-Neelsen stain to exclude mycobacterial infection.
|
100 |
anonymous |
Post-TUR granuloma, in a background of nodular hyperplasia. 100%
|
nil
|
100 |
anonymous |
PROSTATE, TURP : Iatrogenic granuloma after a surgical procedure in a prostate with nodular hyperplasia (100%)
|
Also known as Post-transurethral resection granuloma. It is related to surgical procedures, e.g. transurethral resection of prostate, prostatic needle biopsy, etc.
Usually the histology is characteristic and special stains for micro-organisms are not necessary. Only in rare cases, Ziehl-Neelsen stain is performed.
|
100 |
anonymous |
Benign prostatic hyperplasia with focal basal cell hyperplasia and granulomatous prostatits (100%)
|
Seek a clinical history of a previous transurtheral resection i.e. (post-TUR granuloma)
The following stains would be performed: Periodic-acid Schiff and Grocott's hexamine silver and Ziehl-Neelsen stains to exclude fungal and mycobacterial infections.
|
100 |
anonymous |
Palisading granuloma; consistent with effects of previous biopsy/TURP
|
Perform ZN stain to exclude mycobacterial infection;
Correlation with history of instrumentation.
|
100 |
anonymous |
Palisaded granuloma consistent with post-TUR granuloma. 100%
|
Suggest correlate with clinical history of previous TUR.
|
100 |
anonymous |
Acute mucosal necrosis consistent with ischemic colitis. 100%
|
Correlation with clinical and endoscopic findings is important.
|
100 |
anonymous |
granulomatous prostatitis
|
Likely post instrumentation. Need to rule out TB
|
95 |
anonymous |
Post TURP/Bx palisading granulomas, no malignancy 100%
|
TB is safely excluded by doing a Z-N stain.
|
100 |
anonymous |
Post-biopsy granuloma (100%)
|
The morphologic features are that of granulomatous change post-biopsy, though ZN may be performed to exclude co-existing infective cause.
|
100 |
anonymous |
Necrotising granulomatous inflammation 100%
|
DDx : infection & iatrogenic i.e. previous operation. Suggest special stains to exclude mycobacterial and fungal infection.
|
100 |
anonymous |
Transitional cell dysplasia - focal involving a few glands
Prostatic basal cell hyperplasia
|
Not sure with the small focus. Need deeper sections.
|
50 |
anonymous |
Granulomatous Prostatis 100%
|
Special stains to exclude infections such as tubercolosis. Enquire about history of previous resection.
|
95 |
anonymous |
Granulomatous prostatitis, nodular hyperplasia with focal basal cell hyperplasia, no evidence of PIN changes or malignancy. 100%
|
1. It is prudent to exclude infection: ZN for TB, Grocott for fungus.
2. EVG stain should be done to study the relation of the granuloma to blood vessels (exclude the possibility of arteritis).
3. Has TURP been performed recently?
|
95 |
anonymous |
Fibromuscular and adenomatous hyperplasia; granulomatous prostatitis
100%
|
Special stains must to done to exclude fungal or TB infection. The presence of eosinophils suggest that the granulomas may be iatrogenic (if a previous needle biopsy was done), or nonspecific.
|
95 |
anonymous |
Postsurgical granulomatous prostatitis. (100%)
|
Nil
|
100 |
anonymous |
Nodular hyperplasia, basal cell hyperplasia and post-TUR granuloma
|
nil
|
100 |
anonymous |
granulomatous prostatitis AND basal cell hyperplasia
|
The changes are most consistent with instrumentation effect. We would like to do fungal and acid fast stains to rule out infections.
|
95 |