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[前列腺移行区病变。病因、生长调节、生长因子、基因改变]

[Prostate gland-transition zone lesions. Etiology, growth regulation, growth factors, genetic changes].

作者信息

Pavelić Jasminka, Zeljko Zarko

机构信息

Institut Ruder Bośković, Zavod za molekularnu medicinu, Laboratorij za molekularnu onkologiju.

出版信息

Lijec Vjesn. 2002 Jun-Jul;124(6-7):211-9.

PMID:19658339
Abstract

Human prostate gland is a composite organ made up of several glandular and nonglandular components. There are three distinct glandular regions. These are the peripheral, the central, and the transition zone. They differ histologically and biologically. The central zone is relatively resistant to carcinoma and other diseases. The peripheral zone is the site of origin of most carcinomas and prostatic intraepithelial neoplasia (PIN). Most authors now agree that PIN is a likely precursor of at least a proportion of carcinomas arising in this zone. The transition zone is the exclusive site of origin of benign prostatic hyperplasia (BPH). A subset of prostate cancers arises in this zone as well. Most are found incidentally at transuretral resection (TUR). A morphological lesion, atypical adenomatous hyperplasia (AH), arising also in transition zone, provides a possible link between BPH and transition zone cancers. However, further studies of biological markers of neoplastic transformation are needed to address this issue.

摘要

人类前列腺是一个由多个腺性和非腺性成分组成的复合器官。有三个不同的腺性区域。分别是外周区、中央区和移行区。它们在组织学和生物学上存在差异。中央区对癌症和其他疾病相对具有抵抗力。外周区是大多数癌症和前列腺上皮内瘤变(PIN)的起源部位。现在大多数作者都认为,PIN至少是该区域一部分癌症的可能前体。移行区是良性前列腺增生(BPH)的唯一起源部位。也有一部分前列腺癌起源于该区域。大多数是在经尿道前列腺切除术(TUR)时偶然发现的。同样出现在移行区的一种形态学病变,非典型腺瘤样增生(AH),为BPH和移行区癌症之间提供了可能的联系。然而,需要进一步研究肿瘤转化的生物学标志物来解决这个问题。

相似文献

1
[Prostate gland-transition zone lesions. Etiology, growth regulation, growth factors, genetic changes].[前列腺移行区病变。病因、生长调节、生长因子、基因改变]
Lijec Vjesn. 2002 Jun-Jul;124(6-7):211-9.
2
Alpha-methylacyl-CoA racemase (P504S) expression in evolving carcinomas within benign prostatic hyperplasia and in cancers of the transition zone.α-甲基酰基辅酶A消旋酶(P504S)在良性前列腺增生中的进展性癌以及移行区癌中的表达。
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[Premalignant and benign lesions in nodules of adenomatous hyperplasia].[腺瘤样增生结节中的癌前病变和良性病变]
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Nucleolar and AgNOR-analysis of prostatic intraepithelial neoplasia (PIN), atypical adenomatous hyperplasia (AAH) and prostatic carcinoma.前列腺上皮内瘤变(PIN)、非典型腺瘤样增生(AAH)及前列腺癌的核仁与核仁组成区嗜银蛋白分析
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Prospective origins of prostate carcinoma. Prostatic intraepithelial neoplasia and atypical adenomatous hyperplasia.前列腺癌的前瞻性起源。前列腺上皮内瘤变和非典型腺瘤样增生。
Cancer. 1996 Jul 15;78(2):330-6. doi: 10.1002/(SICI)1097-0142(19960715)78:2<330::AID-CNCR22>3.0.CO;2-W.
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Benign prostatic hyperplasia: it is a premalignant lesion?
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Premalignant lesions of prostate and their association with nodular hyperplasia and carcinoma prostate.前列腺癌前病变及其与前列腺结节性增生和癌的关联。
Indian J Cancer. 2004 Apr-Jun;41(2):60-5.
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Relationship between atypical adenomatous hyperplasia (AAH), prostatic intraepithelial neoplasia (PIN) and prostatic adenocarcinoma.非典型腺瘤样增生(AAH)、前列腺上皮内瘤变(PIN)与前列腺腺癌之间的关系。
Pathologica. 1997 Jun;89(3):288-300.
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A theoretical rationale on the histogenesis of premalignant lesions and early carcinoma of the prostate.前列腺癌前病变和早期癌组织发生的理论依据。
Pathologica. 1994 Apr;86(2):128-41.

引用本文的文献

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Causal relationship between prostatic diseases and prostate cancer: a mendelian randomization study.前列腺疾病与前列腺癌之间的因果关系:一项孟德尔随机化研究。
BMC Cancer. 2024 Jun 27;24(1):774. doi: 10.1186/s12885-024-12551-9.
2
Transurethral Resection of the Prostate in Younger Men: Effectiveness and Long-term Outcomes.年轻男性经尿道前列腺切除术:有效性及长期预后
Rambam Maimonides Med J. 2024 Apr 28;15(2):e0006. doi: 10.5041/RMMJ.10520.
3
Significance of the prostate central gland and total gland volume ratio in the diagnosis of prostate cancer patients in the prostate specific antigen grey zone.
前列腺中央腺体与总体腺体体积比值在 PSA 灰区前列腺癌患者诊断中的意义。
J Int Med Res. 2021 Jul;49(7):3000605211019879. doi: 10.1177/03000605211019879.
4
Synergistic interaction of benign prostatic hyperplasia and prostatitis on prostate cancer risk.良性前列腺增生和前列腺炎对前列腺癌风险的协同作用。
Br J Cancer. 2013 May 14;108(9):1778-83. doi: 10.1038/bjc.2013.184. Epub 2013 Apr 23.