Difference between revisions of "Prostate cancer"

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77 bytes added ,  17:44, 15 October 2012
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===Microscopic===
===Microscopic===
Features:<ref name=Ref_GUP88>{{Ref GUP|88}}</ref>
Features:<ref name=Ref_GUP88>{{Ref GUP|88}}</ref>
*Pseudostratified (crowded appearing) columnar (or cigar-shaped) nuclei - '''key feature'''.
#Pseudostratified (crowded appearing) columnar (or cigar-shaped) nuclei - '''key feature'''.
**Vaguely resembles [[colonic adenocarcinoma]].
#*Vaguely resembles [[colonic adenocarcinoma]].
*Variable architecture:
#Compatible architecture:
**Papillary.
#*Papillary.
**Cribriform.
#*Cribriform.
**Single gland (large glands).
#*Single gland (large glands).
**Endometrioid - vaguely looks like endometrial carcinoma (with back-to-back glands).
#*Endometrioid - vaguely looks like [[endometrioid endometrial carcinoma]] (with back-to-back glands).
#>= 50% of tumour.<ref name=pmid21383610/>
#*If ductal component <50%, it is a conventional (acinar) adenocarcinoma with a ductal component.


Notes:
Notes:
*Usually seen in association with conventional (acinar) prostate adenocarcinoma.
*Proportion of ductal component should be quantified:
**Proportion of ductal component should be quantified:
**<10% ductal component of no prognostic significance.<ref name=pmid21383610>{{Cite journal  | last1 = Amin | first1 = A. | last2 = Epstein | first2 = JI. | title = Pathologic stage of prostatic ductal adenocarcinoma at radical prostatectomy: effect of percentage of the ductal component and associated grade of acinar adenocarcinoma. | journal = Am J Surg Pathol | volume = 35 | issue = 4 | pages = 615-9 | month = Apr | year = 2011 | doi = 10.1097/PAS.0b013e31820eb25b | PMID = 21383610 }}</ref>
***<10% ductal component of no prognostic significance.<ref name=pmid21383610>{{Cite journal  | last1 = Amin | first1 = A. | last2 = Epstein | first2 = JI. | title = Pathologic stage of prostatic ductal adenocarcinoma at radical prostatectomy: effect of percentage of the ductal component and associated grade of acinar adenocarcinoma. | journal = Am J Surg Pathol | volume = 35 | issue = 4 | pages = 615-9 | month = Apr | year = 2011 | doi = 10.1097/PAS.0b013e31820eb25b | PMID = 21383610 }}</ref>


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