Gen Path Exam 4 - Male Reproductive Pathology Flashcards
Located at base of bladder, encircling urethra, anterior to rectum
Prostate
Posterior aspect is palpable by digital rectal exam
Prostate
___________ maintain the glands and stroma, which make a milky fluid added to sperm and fluid from seminal vesicle to make semen
Androgens
Histologically consists of central zone, peripheral zone, and transitional zone
Prostate
Which disease?
Very common after age 40; only 10% with histologic evidence have symptoms
Benign prostate hyperplasia (BPH)
Which disease?
Arises from inner transitional or central zones; produces urinary obstruction
Benign prostatic hyperplasia (BPH)
Which disease has the following symptoms?
Difficulty/hesitancy starting urinary stream and intermittent interruption of urinary stream
Benign prostatic hyperplasia (BPH)
Which disease has the following symptoms?
With obstruction - urgency, frequency, nocturia (irritated bladder)
Benign prostatic hyperplasia (BPH)
Which disease?
Caused by an increase in androgens
Prostatic hyperplasia
Which disease?
5-alpha reductase -> Testosterone -> dihydrotestosterone (DHT) -> nodular hyperplasia
Prostatic hyperplasia
Which disease?
Increased estrogen may also increase expression of DHT receptors in prostate
Prostatic hyperplasia
Which disease has the following methods of treatment?
5-alpha reductase inhibitors: finasteride (Proscar, Propecia)
alpha-1-adrenergic blockers: relax prostate SM (Terazosin, Tamsulosin)
Prostatic hyperplasia
Which disease?
Well-defined nodules compressing the urethra
Prostatic hyperplasia
Which disease?
Variable amount of normal appearing but hyperplastic glandular and stromal components
Prostatic hyperplasia
Most common cancer in men
Prostatic carcinoma
Which disease?
Lifetime risk is ~11%; affects men aged 65-75
Prostatic carcinoma
Which disease?
Highly variable disease course; can’t reliably predict which tumors will be aggressive
Prostatic carcinoma