Difference between revisions of "Prostatic-type polyp"

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'''Prostatic-type polyp''' is an uncommon polyp of the genitourinary tract.  
'''Prostatic-type polyp''' is an uncommon polyp of the [[genitourinary pathology|genitourinary tract]].  It is typically centered on the verumontanum of the [[prostate gland]] and projects into the [[urethra]].
 
It may be referred to as '''verumontanum mucosa gland hyperplasia''';<ref name=pmid7802135>{{Cite journal  | last1 = Gagucas | first1 = RJ. | last2 = Brown | first2 = RW. | last3 = Wheeler | first3 = TM. | title = Verumontanum mucosal gland hyperplasia. | journal = Am J Surg Pathol | volume = 19 | issue = 1 | pages = 30-6 | month = Jan | year = 1995 | doi =  | PMID = 7802135 }}</ref> however, Muezzinoglu ''et al.'' suggest they are a separate entity.<ref name=pmid11231483>{{Cite journal  | last1 = Muezzinoglu | first1 = B. | last2 = Erdamar | first2 = S. | last3 = Chakraborty | first3 = S. | last4 = Wheeler | first4 = TM. | title = Verumontanum mucosal gland hyperplasia is associated with atypical adenomatous hyperplasia of the prostate. | journal = Arch Pathol Lab Med | volume = 125 | issue = 3 | pages = 358-60 | month = Mar | year = 2001 | doi = 10.1043/0003-9985(2001)125<0358:VMGHIA>2.0.CO;2 | PMID = 11231483 }}</ref>


==General==
==General==
*Hematuria - classic presentation.<ref>{{Cite journal  | last1 = Chan | first1 = JK. | last2 = Chow | first2 = TC. | last3 = Tsui | first3 = MS. | title = Prostatic-type polyps of the lower urinary tract: three histogenetic types? | journal = Histopathology | volume = 11 | issue = 8 | pages = 789-801 | month = Aug | year = 1987 | doi =  | PMID = 2442088 }}</ref>
*Hematuria - classic presentation.<ref name=pmid2442088>{{Cite journal  | last1 = Chan | first1 = JK. | last2 = Chow | first2 = TC. | last3 = Tsui | first3 = MS. | title = Prostatic-type polyps of the lower urinary tract: three histogenetic types? | journal = Histopathology | volume = 11 | issue = 8 | pages = 789-801 | month = Aug | year = 1987 | doi =  | PMID = 2442088 }}</ref>
*Uncommon - as a separate specimen.
**Relatively common in prostatectomy specimens if one looks for it; 14% of cases in series of 341 cases.<ref name=pmid7802135/>


==Microscopic==
==Microscopic==
Features:<ref name=Ref_Uropath470>{{Ref Uropath|470}}</ref>
Features:<ref name=Ref_Uropath470>{{Ref Uropath|470}}</ref>
*Benign prostatic type epithelium/transitional type epithelium.
*Benign prostatic type epithelium or transitional type epithelium.
 
**Cuboidal to low columnar cells with basal cell layer.
**+/-Corpora amylacea.
DDx:
DDx:
*[[Prostatic ductal carcinoma]].<ref name=Ref_Uropath470/>
*[[Prostatic ductal carcinoma]].<ref name=Ref_Uropath470/>
==IHC==
*PSA +ve.<ref name=Ref_Uropath471>{{Ref Uropath|471}}</ref><ref name=pmid2442088/>


==See also==
==See also==

Revision as of 19:52, 30 December 2016

Prostatic-type polyp is an uncommon polyp of the genitourinary tract. It is typically centered on the verumontanum of the prostate gland and projects into the urethra.

It may be referred to as verumontanum mucosa gland hyperplasia;[1] however, Muezzinoglu et al. suggest they are a separate entity.[2]

General

  • Hematuria - classic presentation.[3]
  • Uncommon - as a separate specimen.
    • Relatively common in prostatectomy specimens if one looks for it; 14% of cases in series of 341 cases.[1]

Microscopic

Features:[4]

  • Benign prostatic type epithelium or transitional type epithelium.
    • Cuboidal to low columnar cells with basal cell layer.
    • +/-Corpora amylacea.

DDx:

IHC

See also

References

  1. 1.0 1.1 Gagucas, RJ.; Brown, RW.; Wheeler, TM. (Jan 1995). "Verumontanum mucosal gland hyperplasia.". Am J Surg Pathol 19 (1): 30-6. PMID 7802135.
  2. Muezzinoglu, B.; Erdamar, S.; Chakraborty, S.; Wheeler, TM. (Mar 2001). "Verumontanum mucosal gland hyperplasia is associated with atypical adenomatous hyperplasia of the prostate.". Arch Pathol Lab Med 125 (3): 358-60. doi:10.1043/0003-9985(2001)125<0358:VMGHIA>2.0.CO;2. PMID 11231483.
  3. 3.0 3.1 Chan, JK.; Chow, TC.; Tsui, MS. (Aug 1987). "Prostatic-type polyps of the lower urinary tract: three histogenetic types?". Histopathology 11 (8): 789-801. PMID 2442088.
  4. 4.0 4.1 Amin, Mahul B.; Eble, John; Grignon, David; Srigley, John. (2013). Urological Pathology (1st ed.). Wolters Kluwer. pp. 470. ISBN 978-0781782814.
  5. Amin, Mahul B.; Eble, John; Grignon, David; Srigley, John. (2013). Urological Pathology (1st ed.). Wolters Kluwer. pp. 471. ISBN 978-0781782814.