前立腺梗塞の病理組織学的研究

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タイトル別名
  • INFARCTION OF THE PROSTATE
  • ゼンリツセン コウソク ノ ビョウリ ソシキガクテキ ケンキュウ

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Infarction of the prostate in hyperplastic glands is more frequent than generally supposed. In 120 cases of hyperplastic prostates, twenty-four instances of infarction were found, constituting in frequency of 20 per cent.<br>The lesion of infarction, which occurs only in hyperplastic nodule, consists of foci of coagulation necrosis involving epithelial and stromal elements. Squamous epithelial metaplasia, as well as the so-called “regenerating epithelial dysplasia”, frequently develops around the periphery of an area of infarction. These epithelial changes may mislead one into considering the conditions as a malignant tumor, when he is unaquainted with this process. The significance of epithelial metaplasia or dysplasia in the differential diagnosis from carcinoma should be noticed.<br>In cases with infarction, the average weight of enucleated glands increased by more than 50%, the attacks of urinary retention occurred 1.7 times more frequent and the duration of symptoms was 20 months shorter, as compared to those in cases without infarction.

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