Tuberculous Prostatitis / Post-BCG Changes

 

Epidemiology:

    • BCG immunotherapy for bladder cancer is the most common etiology for this pattern

 

Common sites:

    • >90% also show lung involvement

 

Gross features:

    •  

 

Histologic features:

    • granulomas
      • may be small, non-caseating, close to urethral surface
      • may be large, caseating, throughout the prostate

 

Immunophenotype:

Marker:

Sensitivity:

Specificity:

 ZN

 

 

Auramine-Rhodamine

 

 

 

Molecular features:

    •  

 

Other features:

    •  

 

References:

    • Sternberg 2004