S. A. AJI ET AL.
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when prostate is hard and nodular on digital rectal ex-
amination [6]. Prostate TB is mainly diagnosed inciden-
tally, either following trucut needle biopsy of the prostate
for a suspected carcinoma of the prostate, [7] or after
prostatectomy specimen for Benign Prostatic Hyperplasia
is subjected to histology [8]. Very rarely prostate cancer
can co-exist with TB of the Prostate [9].
In this case report, the patient was initially seen by a
Family Physician, who made a diagnosis of metastatic
carcinoma of the Prostate based on the Paraparesis, and
the findings of a hard nodular prostate on rectal examina-
tion.
K. Huang et al. in Taiwan, conducted a study on 10
patients over a period of 10 years, who all presented with
digital rectal examination findings suggestive of Prostate
cancer, but needle biopsy of the prostate revealed tuber-
culosis [6].
A. Kostakopoulos et al. also presented 5 cases of TB
of the prostate, all of which were incidental histologic
findings after Trans-urethral resecti on of the Prostate [10].
P. M. Karup et al. and M. A. Gafur et al. have all pre-
sented a patient with lower urinary tract symptoms and
prostate biopsy revealed granulomatous prostatitis [11,
12].
We presented this case because it masqueraded as a
typical case of metastatic carcinoma of the prostate and
was only revealed after prostatic biopsy was done.
4. Conclusion
Tuberculosis of the prostate, though rare, can mimic p ros-
tate cancer as well as BPH. A high index of suspicion is
therefore needed in order to avoid misdiagnosis particu-
larly those practicing in the develop ing countries.
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