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Benign Prostatic Hypertrophy
Alessandro Furlan, MD; R. Brooke Jeffrey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Benign prostatic hypertrophy (BPH)
              • Definitions

                • Enlarged prostate secondary to stromal and glandular hyperplasia

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Rosenkrantz AB et al: Radiologist, be aware: ten pitfalls that confound the interpretation of multiparametric prostate MRI. AJR Am J Roentgenol. 202(1):109-20, 2014
                                              2. Chesnais AL et al: Differentiation of transitional zone prostate cancer from benign hyperplasia nodules: evaluation of discriminant criteria at multiparametric MRI. Clin Radiol. 68(6):e323-30, 2013
                                              3. Hoeks CM et al: Transition zone prostate cancer: detection and localization with 3-T multiparametric MR imaging. Radiology. 266(1):207-17, 2013
                                              4. Jung SI et al: Transition zone prostate cancer: incremental value of diffusion-weighted endorectal MR imaging in tumor detection and assessment of aggressiveness. Radiology. 269(2):493-503, 2013
                                              5. Mitterberger M et al: Ultrasound of the prostate. Cancer Imaging. 10:40-8, 2010
                                              6. Oto A et al: Prostate cancer: differentiation of central gland cancer from benign prostatic hyperplasia by using diffusion-weighted and dynamic contrast-enhanced MR imaging. Radiology. 257(3):715-23, 2010
                                              7. Loeb S et al: Prostate volume changes over time: results from the Baltimore Longitudinal Study of Aging. J Urol. 182(4):1458-62, 2009
                                              8. Kanao K et al: Three-dimensional ultrasonography in evaluation of benign prostatic hyperplasia. Int J Urol. 11(12):1087-91, 2004
                                              9. Tubaro A et al: Investigation of benign prostatic hyperplasia. Curr Opin Urol. 13(1):17-22, 2003
                                              10. Grossfeld GD et al: Benign prostatic hyperplasia: clinical overview and value of diagnostic imaging. Radiol Clin North Am. 38(1):31-47, 2000
                                              11. Aarnink RG et al: Aspects of imaging in the assessment and follow up of benign prostatic hyperplasia. Curr Opin Urol. 9(1):21-9, 1999
                                              12. Ishida J et al: Benign prostatic hyperplasia: value of MR imaging for determining histologic type. Radiology. 190(2):329-31, 1994
                                              13. Arrighi HM et al: Natural history of benign prostatic hyperplasia and risk of prostatectomy. The Baltimore Longitudinal Study of Aging. Urology. 38(1 Suppl):4-8, 1991
                                              14. Schiebler ML et al: Prostatic carcinoma and benign prostatic hyperplasia: correlation of high-resolution MR and histopathologic findings. Radiology. 172(1):131-7, 1989
                                              15. American College of Radiology. MR Prostate Imaging and Data System version 2.0. Accessed January 2015
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Benign prostatic hypertrophy (BPH)
                                                          • Definitions

                                                            • Enlarged prostate secondary to stromal and glandular hyperplasia

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Ultrasonographic Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Rosenkrantz AB et al: Radiologist, be aware: ten pitfalls that confound the interpretation of multiparametric prostate MRI. AJR Am J Roentgenol. 202(1):109-20, 2014
                                                                                          2. Chesnais AL et al: Differentiation of transitional zone prostate cancer from benign hyperplasia nodules: evaluation of discriminant criteria at multiparametric MRI. Clin Radiol. 68(6):e323-30, 2013
                                                                                          3. Hoeks CM et al: Transition zone prostate cancer: detection and localization with 3-T multiparametric MR imaging. Radiology. 266(1):207-17, 2013
                                                                                          4. Jung SI et al: Transition zone prostate cancer: incremental value of diffusion-weighted endorectal MR imaging in tumor detection and assessment of aggressiveness. Radiology. 269(2):493-503, 2013
                                                                                          5. Mitterberger M et al: Ultrasound of the prostate. Cancer Imaging. 10:40-8, 2010
                                                                                          6. Oto A et al: Prostate cancer: differentiation of central gland cancer from benign prostatic hyperplasia by using diffusion-weighted and dynamic contrast-enhanced MR imaging. Radiology. 257(3):715-23, 2010
                                                                                          7. Loeb S et al: Prostate volume changes over time: results from the Baltimore Longitudinal Study of Aging. J Urol. 182(4):1458-62, 2009
                                                                                          8. Kanao K et al: Three-dimensional ultrasonography in evaluation of benign prostatic hyperplasia. Int J Urol. 11(12):1087-91, 2004
                                                                                          9. Tubaro A et al: Investigation of benign prostatic hyperplasia. Curr Opin Urol. 13(1):17-22, 2003
                                                                                          10. Grossfeld GD et al: Benign prostatic hyperplasia: clinical overview and value of diagnostic imaging. Radiol Clin North Am. 38(1):31-47, 2000
                                                                                          11. Aarnink RG et al: Aspects of imaging in the assessment and follow up of benign prostatic hyperplasia. Curr Opin Urol. 9(1):21-9, 1999
                                                                                          12. Ishida J et al: Benign prostatic hyperplasia: value of MR imaging for determining histologic type. Radiology. 190(2):329-31, 1994
                                                                                          13. Arrighi HM et al: Natural history of benign prostatic hyperplasia and risk of prostatectomy. The Baltimore Longitudinal Study of Aging. Urology. 38(1 Suppl):4-8, 1991
                                                                                          14. Schiebler ML et al: Prostatic carcinoma and benign prostatic hyperplasia: correlation of high-resolution MR and histopathologic findings. Radiology. 172(1):131-7, 1989
                                                                                          15. American College of Radiology. MR Prostate Imaging and Data System version 2.0. Accessed January 2015