1214 / 1311
MRI
•
T-Staging: Detection
–
T1 – not palpable
difficult
–
T 2 – confined to prostate
easily detectable
–
T 3/4 – extracapsular extension: infiltration of
neurovascular bundle, seminal vesicles,
rectum, bladder
superior to CT
•
Grading: Characterization not possible
(yet?)
Reality
Where is the tumour?
T2w MRI
Histology
Chronic Prostatitis:
Low intensity areas decreased after 3 months of antibiotics
Differential Diagnosis
Wang L, Radiology 2004
Extracapsular Extension
Lymph node drainage
Yellow
: Lateral route
-> External iliac LN
Green
: Hypogastric route
-> Internal iliac LN