Multiparametric magnetic resonance imaging for the differential diagnosis between granulomatous prostatitis and prostate cancer: a literature review to an intriguing diagnostic challenge

Multiparametric magnetic resonance imaging (mpMRI) is currently the most effective diagnostic tool for detecting prostate cancer (PCa) and evaluating adenocarcinoma-mimicking lesions of the prostate gland, among which granulomatous prostatitis (GP) represents the most interesting diagnostic challeng...

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Bibliographic Details
Published in:Frontiers in oncology Vol. 13; p. 1178430
Main Authors: Gaudiano, Caterina, Renzetti, Benedetta, De Fino, Cristina, Corcioni, Beniamino, Ciccarese, Federica, Bianchi, Lorenzo, Schiavina, Riccardo, Droghetti, Matteo, Giunchi, Francesca, Brunocilla, Eugenio, Fiorentino, Michelangelo
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 05.06.2023
Subjects:
granulomatous prostatitis
granulomatous prostatitis induced by BCG
multiparametric magnetic resonance imaging
non-specific granulomatous prostatitis
Oncology
PI-RADS score
prostate cancer
non-specific granulomatous prostatitis
prostate cancer
PI-RADS score
granulomatous prostatitis
granulomatous prostatitis induced by BCG
multiparametric magnetic resonance imaging
ISSN:2234-943X, 2234-943X
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Summary:Multiparametric magnetic resonance imaging (mpMRI) is currently the most effective diagnostic tool for detecting prostate cancer (PCa) and evaluating adenocarcinoma-mimicking lesions of the prostate gland, among which granulomatous prostatitis (GP) represents the most interesting diagnostic challenge. GP consists of a heterogeneous group of chronic inflammatory lesions that can be differentiated into four types: idiopathic, infective, iatrogenic, and associated with systemic granulomatous disease. The incidence of GP is growing due to the increase in endourological surgical interventions and the adoption of intravesical instillation of Bacillus Calmette-Guerin in patients with non-muscle invasive bladder cancer; therefore, the difficulty lies in identifying specific features of GP on mpMRI to avoid the use of transrectal prostate biopsy as much as possible.
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These authors have contributed equally to this work and share first authorship
Reviewed by: Octavian Sabin Tataru, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Târgu Mureş, Romania; Iulia Andras, Iuliu Hațieganu University of Medicine and Pharmacy, Romania
Edited by: Daniel N. Costa, University of Texas Southwestern Medical Center, United States
ISSN:2234-943X
2234-943X
DOI:10.3389/fonc.2023.1178430