Nonspecific prostatitis suggestive of prostatic cancer: A case report

A case of nonspecific prostatitis suggestive of prostatic cancer is reported. A 62-year-old man visited our hospital with an elevated level of prostate-specific antigen (PSA). His serum PSA level was 5.3 ng/ml. Digital rectal examination revealed a slightly enlarged prostate, but did not suggest prostate cancer. The patient was followed up for 3 months. One year later, his PSA level was elevated to 6.2 ng/ml. Transperineal needle biopsy of the prostate revealed no prostate cancer. Six months after the needle biopsy, his PSA level was elevated to 16.7 ng/ml. The findings of digital rectal examination and magnetic resonance imaging (MRI) suggested prostatic cancer. However, transperineal needle biopsy revealed granulomatous prostatitis. The patient was examined for tuberculosis and sarcoidosis, but the findings were negative.