Hypertrophic nodule fibrous tissue hyperplasia

Introduction Fibrous tissue hyperplasia is a clinical manifestation of the type of hypertrophic glandular nodule in the pathological changes of benign prostatic hyperplasia: histological examination of glandular hypertrophic nodules, including varying degrees of hyperplastic gland, fibrous tissue, and muscle tissue in visible hypertrophic nodules Hyperplasia.

Cause

Prostate diseases are often caused by viral infections, urinary stones, and chronic congestion of the prostate. Interrupted sexual intercourse, frequent sexual life, and chronic constipation are the causes of prostate disease.

an examination

Related inspection

Cystoscopy blood routine

Diagnosis: Diagnostic points for benign prostatic hyperplasia:

1. More common in older men over the age of 50. Early manifestations of frequent urination, increased nocturia, difficulty urinating, and weak urine flow. In the advanced stage, severe urinary frequency, urgency, dysuria, and even dysuria may occur, and the lower abdomen may be full, and the bladder may be touched.

2. Digital rectal examination: the prostate is enlarged, the texture is hard, the surface is smooth, and the central groove disappears.

3. B-mode ultrasound examination can show hyperplastic prostate. Cystoscopy, excretory urography, etc., are helpful in diagnosing this disease.

4. The disease should be differentiated from lymphatic syndrome, severe urethral stricture, prostate cancer, prostate sarcoma, prostatic calculus, and neurogenic bladder dysfunction.

Differential diagnosis

Differential diagnosis of hypertrophic fibrous tissue hyperplasia:

1. Both sides of the leaf type hypertrophic gland nodules: the hypertrophy of the glands on both sides of the gland, the central sacral urethra, such as the symmetry of the two sides of the hypertrophy, the urethra bending is not obvious, the urinary dysfunction is mainly due to the sides and squeezed results .

2. Middle lobe hypertrophic gland nodules: hypertrophy of the middle lobe of the prostate, protruding in the bladder after the neck of the bladder, pressing the urethra forward, and bending and prolonging, it is easy to produce dysuria. And in the upper part of the bladder after the hypertrophy, a posterior fossa is formed, and a large amount of residual urine can appear in the early stage.

3. Lateral and middle lobe hypertrophic gland nodules: Both of the above two cases, urinary symptoms occur earlier, the impact is heavier, catheter placement is often more difficult.

4. Middle lobe and anterior lobe hypertrophic gland nodules: completely like type 3, due to the hypertrophy of the anterior lobe of the prostatic body, the hypertrophic gland tissue is fused into a complete ring; including the bilateral, middle and anterior leaves, However, due to the small size of the anterior leaf, the glandular tissue of the hypertrophy is also very limited, and most of the masses are still from the lateral and middle leaves.

5. Inferior cervical hypertrophy gland nodules: The urethral glands are hypertrophied, often with small nodules, scattered in the bladder neck, which can exist alone or in combination with the above types.

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