Male Genital System Pathology: Prostate (BPH)

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Questions and Answers

What is the most common clinical presentation of advanced localized prostate cancer?

  • Elevated alkaline phosphatase
  • Lower back pain (correct)
  • Benign gland enlargement
  • Urinary tract obstruction

What is the primary method for detecting the tumor in the prostate?

  • Digital rectal exam (induration) (correct)
  • Serum PSA level
  • Elevated alkaline phosphatase
  • Transrectal U/S and biopsy

Which glands infiltrate between the benign glands in prostate cancer?

  • Enlarged nuclei
  • Basal cells
  • Crowded small circular glands (correct)
  • Prominent large nucleoli

What is the most common site of metastases in prostate cancer?

<p>Obturator and pelvic lymph nodes (C)</p> Signup and view all the answers

How is metastatic prostate cancer primarily treated?

<p>Orchiectomy, estrogens, or LHRH agonists and anti-androgens (D)</p> Signup and view all the answers

What is the primary pathology described in the passage?

<p>Benign prostatic hyperplasia (A)</p> Signup and view all the answers

What is the main factor responsible for the synthesis of Dihydrotestosterone (DHT) in the prostate?

<p>Circulating testosterone (B)</p> Signup and view all the answers

Which zone of the prostate is primarily affected by Benign prostatic hyperplasia (BPH)?

<p>Transition zone (B)</p> Signup and view all the answers

What is the most common clinical presentation of Benign prostatic hyperplasia (BPH)?

<p>Urinary retention and hesitancy (A)</p> Signup and view all the answers

How is adenocarcinoma graded in the prostate?

<p>Gleason system (A)</p> Signup and view all the answers

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