Abstract
A total of 152 patients with prostatic carcinoma were evaluated retrospectively. Sections prepared from paraffin blocks were examined and all cases were scored according to the Gleason grading system. Prostatic adenocarcinomas were catergorized into 3 different groups of histopathological patterns: acinar, ductal and mixed. The relationships between histopathologic pattern and symptoms, clinical findings, clinical stage, Gleason scores and local or systemic progression were investigated.
It was found that patients with mixed pattern tumours presenting at later stages with more severe symptoms of prostatism had higher Gleason scores and higher progression rates compared to patients with tumors having acinar pattern.
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Catalona, W. S., Scott, W. W.: Carcinoma of the Prostate. W. B. Saunders Company, Philadelphia 1986.
Kopelson, G., Harisiadis, L., Romas, N. A., Veenema, R. J., Tannenbaum, M.: Periurethral prostatic duct carcinoma.Cancer, 42, 2894 (1978).
Dube, V. E., Farnow, G. M., Greene, L. F.: Prostatic adenocarcinoma of ductal origin.Cancer, 32, 402 (1973).
Gleason, D. F., Mellinger, G. T.: Prediction of prognosis for prostatic adenocarcinoma by combined histological grading and clinical staging.J. Urol., 111, 58 (1974).
McLaughlin, A. P., Saltzstein, S. L., McCullough, D. L., Gittes, R. F.: Prostatic carcinoma. Incidence and location of unsuspected lymphatic metastasis.J. Urol., 115, 89 (1976).
Byar, D. P., Mostofi, F. K., and the V.A.C.U.R.G.: Carcinoma of the prostate. Prognostic evaluation of certain pathologic features in 2089 radical prostatectomies. Examined by the step section technique.Cancer, 30, 5 (1972).
Kramer, S. A., Spahr, J., Brendler, C. B., Glenn, J. F., Paulson, D. F.: Experience with Gleason's histopathologic grading in prostatic cancer.J. Urol., 124, 223 (1980).
Rosai, J.: Male Reproductive System. The C.V. Mosby Company, Missouri 1989.
Babaian, R. J., Grunow, W. A.: Reliability of Gleason Grading System in comparing prostate biopsies with total prostatectomy specimens.Urology, 25, 564 (1985).
Lemberger, R. J., Bishop, M. C., Bates, L. P., Blundell, W., Ansell, I. D.: Carcinoma of the prostate of ductal orgin.Br. J. Urol., 56, 706 (1984).
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Bircan, K., Başar, I., Ergen, A. et al. Histopathological pattern in prostatic adenocarcinomas: Is it a prognostic criterion?. International Urology and Nephrology 23, 57–64 (1991). https://doi.org/10.1007/BF02549729
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DOI: https://doi.org/10.1007/BF02549729