prostate Flashcards
Describe the zones of the prostate and the diseases that may be associated with each of them Describe the presentation and types of prostatic inflammation and how they may mimic malignancy Describe benign prostatic hyperplasia including its presentation and underlying pathologic process Describe the clinicopathologic features of prostate cancer and its precursor lesion (PIN) Be able to interpret PSA levels in regards to possible prostatic causes Describe the Gleason grading system for prost
zone of prostate with most hyperplastic lesions
inner transition
zone of prostate with most carcinomas
peripheral zones
urinary obstructing benign lesions most likely orginates in
inner transition zone
most common type of prostatitis
chronic non bacterial/chronic pelvic pain syndrome
tender and boggy prostate on DRE with fever, chills and disuria
acute bacterial prostatitis
low back pain, dysuria, perineal/suprapubic discomfort
chronic bacterial/nonbacterial prostatitis
really is a pain in the ass to diagnose
chronic nonbacterial prostatsis
cause of BPH
androgen-dependant growth of stromal and glandular elements
chemical produced by prostate
dihydrotestosterone
drug type that can exacerbate BPH
alpha 1 adrenergic agonists
zone where BPH occurs
inner transitional zone
gross apperance of BPH
enlarged prostate with well-circumscribed solid or cystic nodules
secretory material in the glandular lumina produced by BPH
corpora amylacea
most common clinical manifestation of BPH
hesitancy and inturruption of the stream while voiding, urinary urgency, nocturia, incerased urinary frequency
ddx of BPH
urethral stricture or impaired bladder detrusor muscle
