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Prostate : Wegener Granulomatosis

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This prostate biopsy is from a 32 y/o male with history of Wegener Granulomatosis (biopsy proven in lung) who presented with symptoms of acute prostatitis. Digital rectal exam revealed a firm, tender prostate. After a course of antibiotics, he underwent needle biopsies which showed multifocal necrotizing granulomas. Special stains for acid-fast bacilli and fungal organisms were negative. The histologic findings are consistent with Wegener granulomatosis involving prostate.

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