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. 2019;26(4):237-243.
doi: 10.6001/actamedica.v26i4.4209.

Giant prostatic hyperplasia and its causes

Marius Anglickis  1 , Gediminas Platkevičius  2 , Rokas Stulpinas  3 , Lina Miklyčiūtė  4 , Giedrė Anglickienė  5 , Vytautas Keina  1 , Edmundas Štarolis  1 , Audrius Gradauskas  2
Affiliations

Giant prostatic hyperplasia and its causes

Marius Anglickis et al. Acta Med Litu. 2019.

Abstract
in English, Lithuanian

We present a case of a 59-year-old male who was admitted to the emergency department with urinary retention, with a history of lower urinary tract symptoms, with the value of serum prostate specific antigen level of 100 ng/mL and an estimated prostate size of 800 mL, according to magnetic resonance imaging. A prostate biopsy showed benign prostatic hyperplasia. Transvesical prostatectomy was performed, following additional procedure of transurethral resection of the prostate. To the best of our knowledge, this is the fourth highest prostate volume reported in medical literature. In this paper, we examine the factors that may have influenced the development of giant prostate hyperplasia.

Santrauka Straipsnyje pateikiamas 59 metų amžiaus vyro klinikinis atvejis. Pacientas, kurį ilgą laiką vargino apatinių šlapimo takų problemos, atvyko į skubios pagalbos skyrių dėl ūminio šlapimo susilaikymo. Prostatos specifinio antigeno koncentracija buvo 100 ng/ml, o magnetiniu rezonansu išmatuotos prostatos tūris siekė 800 ml. Atlikus prostatos biopsiją gautas atsakymas – gėrybinė prostatos hiperplazija. Pacientui atlikta suprapubinė prostatektomija, o vėliau transuretrinė prostatos rezekcija. Kiek yra žinoma, tai buvo ketvirta didžiausia prostata, aprašyta medicininėje literatūroje.Straipsnyje analizuojami veiksniai, kurie galėjo lemti milžiniškos prostatos atsiradimą.Raktažodžiai: gerybinė prostatos hiperplazija, gigantinė prostatos hiperplazija, prostata, transversinė prostatektomija.

Keywords: benign prostatic hyperplasia; giant prostatic hyperplasia; prostate; transvesical prostatectomy.

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Figures

Fig. 1.
Fig. 1.
Coronal MRI image showing a giant prostate occupying most of the pelvic volume
Fig. 2.
Fig. 2.
Sagittal MRI image showing a giant prostate occupying most of the pelvic volume
Fig. 3.
Fig. 3.
Prostatic tissue extirpated in multiple pieces, weight 460 g
Fig. 4.
Fig. 4.
Heterogenous positivity for androgen receptors in the  glandular component with predominant strong zones on the left and weak zones on the right
See this image and copyright information in PMC

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