Reminder: Diseases with symptoms like prostate cancer

　　(1) Nonspecific granulomatous prostatitis : There are nodules in the prostate, which are easily confused with prostate cancer. However, cancer nodules are generally diffuse, uneven, and inelastic. In the former case, the induration develops faster, with peak-like protrusions, varying in softness and hardness. A biopsy is required to confirm the diagnosis.

　　(2) Prostate stones: The prostate has hard nodules similar to prostate cancer. However, when performing a digital rectal examination for prostate stones, sometimes a grinding sound can be obtained, and X-rays can show the shadow of stones near the pubic symphysis.

　　(3) Prostatic hyperplasia: Symptoms similar to those of prostate cancer may occur. However, the patient is generally in good condition and has recurring difficulty in urinating. The glands were diffusely enlarged, with a smooth, elastic surface, no induration, and no increase in acid phosphatase.

　　(4) Prostatic tuberculosis: patients with a history of tuberculosis or combined with tuberculosis in other parts of the urinary system. The glands are slightly enlarged, hard, and nodular. Mycobacterium tuberculosis can be directly detected in urine.

　　(5) Prostatic sarcoma: and prostate cancer The symptoms are similar, but the incidence of prostate sarcoma is higher in young people. Although this disease has prostate enlargement； But the texture is pliable and soft like a cyst. A biopsy can confirm the diagnosis.

　　(6) Chronic prostatitis: Urinary tract symptoms during acute attacks are similar to those of prostate cancer. However, the gland is slightly enlarged and slightly hard, with a middle groove present and an increase in cells in the prostatic fluid.

　　(7) Fibrosclerosis: Mostly chronic prostatitis, which does not heal for a long time, with fibrous tissue hyperplasia and local nodules, limited to the capsule, hard, tough and resistant. The main difference is that acid phosphatase is not elevated and there are no tumor changes in prostate biopsy.