Difference between revisions of "Prostate gland"

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268 bytes added ,  17:46, 20 June 2010
→‎Atrophy: create table
(→‎Atrophy: create table)
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===Microscopic===
===Microscopic===
Features:
Features:
*Glands often have a jagged edges/prows (in cancer the glands tend to have round edges).  
*Glands often have a jagged edges/prows (in cancer the glands tend to have round edges) - '''key feature'''.  
**Prow = forward most part of a ship's bow that cuts through the water.<ref>[http://en.wikipedia.org/wiki/Prow http://en.wikipedia.org/wiki/Prow]</ref>
**Prow = forward most part of a ship's bow that cuts through the water.<ref>[http://en.wikipedia.org/wiki/Prow http://en.wikipedia.org/wiki/Prow]</ref>
***You may have come across ''prow'' in the context of [[breast cancer]], i.e. ''tubular carcinoma''.
***You may have come across ''prow'' in the context of [[breast cancer]], i.e. ''tubular carcinoma''.
*Gland density is usually lower than in prostate carcinoma, i.e. glands are not back-to-back - '''key feature'''.
*Atrophic glands are often hyperchromatic.<ref>SN. June 3, 2009.</ref>
*Atrophic glands are often hyperchromatic.<ref>SN. June 3, 2009.</ref>
*Scant cytoplasm - usually.
*Scant cytoplasm - usually.
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*Should have two cell layers, i.e. epithelial and myoepithelial (may be difficult to see).
*Should have two cell layers, i.e. epithelial and myoepithelial (may be difficult to see).


===Differentiating between diagnoses===
===Atrophy vs. cancer===
Atrophy vs. low grade cancer (Gleason pattern 3)
{| class="wikitable"
*Atrophy - has two distinct cells layers in the gland.
| |
*Atrophy - has an acinar arrangement/look like they originate from one large duct.
|'''Atrophy'''
*Cancer - glands are back-to-back and do not look like they originate from one large duct.
|'''Cancer'''
*Cancer - has nucleoli (atrophy does NOT).
|-
|Glandular architecture/<br>arrangement
|angulated glands, may <br>look like they originate <br>from one large duct
|round glands, <br>often back-to-back
|-
|Nuclear <br>hyperchromasia
|marked
|moderate
|-
|Cytoplasm
|scant/minimal
|moderate, may <br>be amphophilic
|-
|Basal cells
|may be visible
|absent
|-
|Nucleoli
|absent
|present
|-
|Secretions in <br>glands
|no
|yes - eosinophilic <br>or blue
|}


==Basal cell hyperplasia==
==Basal cell hyperplasia==
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