Difference between revisions of "Prostate cancer"

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=Metastatic disease and other cancers of the prostate=
=Metastatic disease and other cancers of the prostate=
==Urothelial carcinoma==
==Urothelial carcinoma==
{{Main|Urothelial carcinoma}} {{Main|Urothelium}}
{{Main|Urothelial carcinoma of the urethra}}
:''Prostatic urothelial carcinoma'' redirects here.
===General===
*Spreads from the [[urinary bladder]] usually - common.<ref name=pmid22520044>{{Cite journal  | last1 = Huguet | first1 = J. | title = [Prostatic involvement by urothelial carcinoma in patients with bladder cancer and their implications in the clinical practice]. | journal = Actas Urol Esp | volume = 36 | issue = 9 | pages = 545-53 | month = Oct | year = 2012 | doi = 10.1016/j.acuro.2012.02.005 | PMID = 22520044 }}</ref>
*Identified by endoscopic loop biopsy.<ref name=pmid17338657>{{Cite journal  | last1 = Liedberg | first1 = F. | last2 = Chebil | first2 = G. | last3 = Månsson | first3 = W. | title = Urothelial carcinoma in the prostatic urethra and prostate: current controversies. | journal = Expert Rev Anticancer Ther | volume = 7 | issue = 3 | pages = 383-90 | month = Mar | year = 2007 | doi = 10.1586/14737140.7.3.383 | PMID = 17338657 }}</ref>
 
Treatment:<ref name=pmid17338657/>
*[[Cystoprostatectomy]] - stromal invasion ''or'' extensive intraductal involvement.
*Endoscopic resection and BCG - limited extent without stromal invasion.
 
===Microscopic===
Features:
*Divided into tumours with:
*#Stromal invasion.
*#Without stromal invasion.
 
Notes:
*Stromal involvement common ~ 75% of cases.<ref name=pmid23250619>{{Cite journal  | last1 = Ichihara | first1 = K. | last2 = Masumori | first2 = N. | last3 = Kitamura | first3 = H. | last4 = Hasegawa | first4 = T. | last5 = Tsukamoto | first5 = T. | title = Clinical outcomes of urothelial carcinoma of the prostate detected in radical cystectomy specimens. | journal = Int J Clin Oncol | volume =  | issue =  | pages =  | month = Dec | year = 2012 | doi = 10.1007/s10147-012-0508-3 | PMID = 23250619 }}</ref>
 
DDx:
*[[Urothelial carcinoma-like prostatic carcinoma]] - may have pseudopapillae.
 
====Images====
<gallery>
Image: Urothelial carcinoma in prostate -- low mag.jpg | UCC in prostate - low mag. (WC/Nephron)
Image: Urothelial carcinoma in prostate -- intermed mag.jpg | UCC in prostate - intermed. mag. (WC/Nephron)
Image: Urothelial carcinoma in prostate -- high mag.jpg | UCC in prostate - high mag. (WC/Nephron)
Image: Urothelial carcinoma in prostate - alt -- high mag.jpg | UCC in prostate - high mag. (WC/Nephron)
 
Image: Urothelial carcinoma in prostate - portrait -- intermed mag.jpg | UCC in prostate - intermed. mag. (WC/Nephron)
Image: Urothelial carcinoma in prostate - portrait -- high mag.jpg | UCC in prostate - high mag. (WC/Nephron)
Image: Urothelial carcinoma in prostate - portrait -- very high mag.jpg | UCC in prostate - very high mag. (WC/Nephron)
 
Image: Urothelial carcinoma in prostate - 2 -- intermed mag.jpg | UCC in prostate - intermed. mag. (WC/Nephron)
Image: Urothelial carcinoma in prostate - 2 -- high mag.jpg | UCC in prostate - high mag. (WC/Nephron)
Image: Urothelial carcinoma in prostate - 2 -- very high mag.jpg | UCC in prostate - very high mag. (WC/Nephron)
</gallery>
 
===Sign out===
<pre>
PROSTATE TISSUE, TRANSURETHRAL RESECTION:
- HIGH-GRADE UROTHELIAL CARCINOMA WITH FOCAL STROMAL INVASION, AND EXTENSIVE
  INTRADUCTAL SPREAD IN FRAGMENTS WITH BENIGN PROSTATIC GLANDS.
</pre>


=See also=
=See also=
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