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Difference between revisions of "Prostate gland"
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→Common diagnoses: tweak, w
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*Radical cystoprostatectomy - includes the urinary bladder and seminal vesicles.<ref>URL: [http://www.cancer.gov/dictionary?cdrid=446218 http://www.cancer.gov/dictionary?cdrid=446218]. Accessed on: 23 February 2012.</ref> | *Radical cystoprostatectomy - includes the urinary bladder and seminal vesicles.<ref>URL: [http://www.cancer.gov/dictionary?cdrid=446218 http://www.cancer.gov/dictionary?cdrid=446218]. Accessed on: 23 February 2012.</ref> | ||
=Common diagnoses= | =Approach= | ||
*Know the common diagnoses well. | |||
*Core biopsies - scan the slides with the 10x objective. | |||
==Common diagnoses== | |||
*Benign. | *Benign. | ||
**Atrophy - may resemble adenocarcinoma - typically not reported. | **[[atrophy of the prostate|Atrophy]] - may resemble adenocarcinoma - typically not reported. | ||
**Adenosis - may resemble adenocarcinoma - typically not reported. | **Adenosis - may resemble adenocarcinoma - typically not reported. | ||
*Prostate adenocarcinoma. | *[[Prostate adenocarcinoma]]. | ||
**Most common Grade is 3+3=6. | **Most common Grade is 3+3=6. | ||
*HGPIN (high-grade prostatic intraepithelial neoplasia) - prostate adenocarcinoma precursor lesion. | *[[HGPIN]] (high-grade prostatic intraepithelial neoplasia) - prostate adenocarcinoma precursor lesion. | ||
*ASAP (atypical small acinar proliferation) - used if you have a few abnormal appearing glands... but can't decide between prostate adenocarcinoma & benign. | *[[ASAP]] (atypical small acinar proliferation) - used if you have a few abnormal appearing glands... but can't decide between prostate adenocarcinoma & benign. | ||
*Chronic inflammation. | *Chronic inflammation. | ||
*Acute inflammation - can result in an elevated PSA and may have prompted the biopsy you're looking at. | *Acute inflammation - can result in an elevated PSA and may have prompted the biopsy you're looking at. | ||
*Nodular hyperplasia of the prostate; AKA ''benign prostatic hypertrophy'' (BPH). | *[[Nodular hyperplasia of the prostate]]; [[AKA]] ''benign prostatic hypertrophy'' (BPH). | ||
**Not diagnosed on needle biopsies. | **Not diagnosed on needle biopsies. | ||
**''BPH'' is technically incorrect -- the process is a hyperplasia. | **''BPH'' is technically incorrect -- the process is a hyperplasia. | ||