Description

A histologic section of prostate tissue should be examined for various patterns that may indicate the underlying pathologic processes.


 

Intraglandular proliferations:

(1) typical (benign prostatic hyperplasia or BPH)

(2) atypical (prostatic intraepithelial neoplasia or PIN)

(3) comedonecrosis (cancer)

 

Glandular proliferations:

(4) small gland (need to consider cancer vs look-alikes)

(5) large gland (need to consider cancer vs look-alikes)

(6) glomerulations = ball-like proliferation which may resemble a glomerulus (cancer)

 

Cellular infiltrations:

(7) sheet-like (need to primary cancer vs metastatic cancer)

(8) peri-neural (cancer)

(9) into fat (cancer)

 

Reactive processes:

(10) inflammation (prostatitis, be cautious diagnosing cancer)

(11) atrophy (be cautious diagnosing cancer; consider treated cancer)

(12) ischemic necrosis (vascular injury, BPH, cancer)

 

Spindle cell proliferation:

(13) stromal proliferation (BPH)

(14) fibrosis

(15) mucinous fibroplasias (suspicious for cancer)

 


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