What diseases are prostatic hyperplasia easily confused with?
The disease should be distinguished from prostate cancer, prostate tuberculosis, prostate stones, prostate cysts, bladder neck contractures (Marion's disease), ureteromegaly, neuropathic bladder, bladder tumors, stones, foreign bodies, etc. The above diseases can be identified in most cases through physical examination, laboratory tests, anal finger examination, and cystoscopy. Only prostate cancer is in atypical cases, and it is difficult to draw conclusions based on the aforementioned examination methods. The following methods can be used to assist differential diagnosis:
1. Serum acid phosphatase measurement: The prostate tissue contains extremely high acid phosphatase, and when cancerous, the content increases. Use this principle to perform this test. The normal value of serum acid phosphatase is 1 to 5 units according to King-Armsstrong, according to Bodansky. It is 0.5 to 2 units, and the new inspection method in 1950 determines the value of 0.7KA units. More than half of prostate cancer patients are higher than normal. Note that false positives can occur after applying testosterone or prostate massage.
2. Determination of serum alkaline phosphatase: When bone metastases are present, serum alkaline phosphatase is elevated. Normal values are 2 to 4.5 units of Bodahsky and 8 to 14 units of King-Armstrong, but false positives must be noted.
3. Prostate biopsy: Prostate biopsy can be performed through the perineum or rectum.
4. Seminal vesicle ejaculation angiography: Prostatic hypertrophy can only be seen with symmetrical enlargement and neat edges; prostate cancer can be seen with narrow, irregular, irregular edges, or defects.