ISOLATED VASCULITIS OF THE SEMINAL-VESICLE

We present 2 cases of histologically identified necrotizing vasculitis found in the seminal vesicles of radical prostatectomy specimens cont aining prostatic adenocarcinoma. In neither case did the patient suffe r from symptoms nor show signs of systemic vasculitis. In 1 case, the vasculitis correlated clinically with dense adhesions noted at surgery that simulated extraprostatic tumor extension. Isolated vasculitis of the seminal vesicle is similar to reports of isolated vasculitis limi ted to other organs, in that local clinical findings may or may not be present, but the patient is free of systemic disease. Careful clinica l follow-up is warranted to exclude the subsequent development of syst emic vasculitis in these patients. (C) 1998, Elsevier Science Inc. All rights reserved.