Prostatic disease

Sonopath Forum

  • 9 year old CKCS entire male with recently diagnosed DM with pancreatitis and cholecystitis. 
  • He has bladder and urinary stones and prostatic disease with enlarged SL LNs also
  • How would you describe this prostate? Prostatic wash pending

  • 9 year old CKCS entire male with recently diagnosed DM with pancreatitis and cholecystitis. 
  • He has bladder and urinary stones and prostatic disease with enlarged SL LNs also
  • How would you describe this prostate? Prostatic wash pending

Comments

DrMac

I would describe it as

I would describe it as moderately to severely enlarged, nonhomogenous to cystic parenchyma with potential for focal area of fibrosis or emerging mineralization. The prostatic capsule margins appear to be intact yet mildly indistinct. It doesnt look like classic BPH and more concern for prostatitis here but could be a combo of both. The MILN look reactive to me. 

Any pain on rectal palpation? 

veteurope1

Prostatic wash results:

Prostatic wash results: moderate to marked neutrophilic inflammation, moderate growth of coliform sp. isolated. 

Thank you!

DrMac

Cool thanks!

Cool thanks!

EL

Keep an eye on this one with

Keep an eye on this one with followup as you can have carcinoma in there with prostatitis. Tx neuter +/- keep sampling int he areas next to the mineralization and dont rely just on prostatic wash/traum cath for definitive results as carcinoma in the parenhcyma may not be reflected in the luminal urethra that is sampled with the catheter. Need the needle here into the lobes.

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