Prostatic malakoplakia mimicking prostate cancer in an elderly male with prostatitis: A rare but important differential
Abstract
We report the case of an 81-year-old male presenting with lower urinary tract symptoms and a PSA of 39 ng/mL, initially attributed to Escherichia coli prostatitis. Despite PSA normalization with antibiotics, MRI demonstrated a PIRADS 5 lesion in the left transition zone. Histopathological evaluation following transperineal biopsy revealed prostatic malakoplakia. This rare granulomatous condition can mimic prostate cancer both clinically and radiologically. Our case highlights the importance of histological confirmation in atypical presentations to avoid misdiagnosis and overtreatment.
Fields of Study & Subjects
Urologic and reproductive health conditions
Urinary and Genital Oncology Studies
Prostate Cancer Diagnosis and Treatment
Publication details
- Journal / source
- Urology Case Reports
- Volume
- 66
- Pages
- 103401–103401
- Publication date
- 7 March 2026
- Language
- EN