Difference between revisions of "Prostate cancer"

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===Situations where prostate adenocarcinoma may be missed===
===Situations where prostate adenocarcinoma may be missed===
Key reasons for false negative prostate samples<ref>{{cite journal |vauthors=Yang C, Humphrey PA |title=False-Negative Histopathologic Diagnosis of Prostatic Adenocarcinoma |journal=Arch. Pathol. Lab. Med. |volume=144 |issue=3 |pages=326–334 |date=March 2020 |pmid=31729886 |doi=10.5858/arpa.2019-0456-RA |url=}}</ref>:
Key reasons for false negative prostate samples<ref>{{cite journal |authors=Yang C, Humphrey PA |title=False-Negative Histopathologic Diagnosis of Prostatic Adenocarcinoma |journal=Arch. Pathol. Lab. Med. |volume=144 |issue=3 |pages=326–334 |date=March 2020 |pmid=31729886 |doi=10.5858/arpa.2019-0456-RA |url=}}</ref>:
*Tissue artefacts (try levels and/or IHC):
*Tissue artefacts (try levels and/or IHC):
**Crush artefact
**Crush artefact
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**[[PIN-like adenocarcinoma]]
**[[PIN-like adenocarcinoma]]
**Microcystic adenocarcinoma
**Microcystic adenocarcinoma
*Single cells of Gleason 5 adenocarcinoma (missed or mistaken for lymphocytes; try IHC)
*Single cells of Gleason 5 adenocarcinoma (missed or mistaken for lymphocytes; try IHC for cytokeratins, prostatic and/or hematologic markers)
*Treatment effect (check clinical information and look for treatment effect in benign glands)
*Treatment effect (check clinical information and look for treatment effect in benign glands)


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