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前列腺癌生长模式与分级系统关系的组织病理学研究

Histopathological Study of the Prostate Cancer Growth Patterns in Relation with the Grading Systems.

作者信息

Popescu Tudor Cristian Timotei, Stepan Alex Emilian, Florescu Mirela Marinela, Simionescu Cristiana Eugenia

机构信息

PhD Student, Department of Pathology, University of Medicine and Pharmacy of Craiova, Romania.

Department of Pathology, University of Medicine and Pharmacy of Craiova, Romania.

出版信息

Curr Health Sci J. 2022 Jan-Mar;48(1):95-101. doi: 10.12865/CHSJ.48.01.14. Epub 2022 Mar 31.

DOI:10.12865/CHSJ.48.01.14
PMID:35911944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9289594/
Abstract

Prostate adenocarcinomas are common lesions with a high incidence and variable prognosis, which can be assessed using tumor grading systems. In this study, we analyzed 329 prostate adenocarcinomas in relation to tumor variants, growth patterns, classical and updated grading systems. The study indicated statistical associations of atrophic, pseudohyperplastic and microcystic variants with low grading scores, the associations of glomeruloid, cribriform with or without necrosis and signet ring-like cell variants with high grading scores, and also of single growth patterns with intermediate scores, which supports the accordance and usefulness of existing grading systems for the identification of aggressive prostate tumor lesions.

摘要

前列腺腺癌是常见病变,发病率高且预后各异,可通过肿瘤分级系统进行评估。在本研究中,我们分析了329例前列腺腺癌的肿瘤变异、生长模式、经典和更新的分级系统。研究表明,萎缩性、假增生性和微囊性变异与低分级评分存在统计学关联,肾小球样、伴有或不伴有坏死的筛状以及印戒样细胞变异与高分级评分存在关联,单一生长模式与中等评分存在关联,这支持了现有分级系统在识别侵袭性前列腺肿瘤病变方面的一致性和实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b9f/9289594/4858c634376f/CHSJ-48-01-95-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b9f/9289594/35466c705508/CHSJ-48-01-95-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b9f/9289594/4858c634376f/CHSJ-48-01-95-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b9f/9289594/35466c705508/CHSJ-48-01-95-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b9f/9289594/4858c634376f/CHSJ-48-01-95-fig2.jpg

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本文引用的文献

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Histopathological re-evaluations of biopsies in prostate cancer: a nationwide observational study.前列腺癌活检的组织病理学再评估:一项全国性观察研究。
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2
Prostate cancer pathology: What has changed in the last 5 years.前列腺癌病理学:过去 5 年的变化。
Urologia. 2020 Feb;87(1):3-10. doi: 10.1177/0391560319876821. Epub 2019 Sep 23.
3
Grading of prostate cancer: a work in progress.前列腺癌分级:一项正在进行中的工作。
Histopathology. 2019 Jan;74(1):146-160. doi: 10.1111/his.13767.
4
Clinical Usefulness of Total Length of Gleason Pattern 4 on Biopsy in Men with Grade Group 2 Prostate Cancer.前列腺癌分级分组 2 患者活检中格里森 4 型总分的临床意义。
J Urol. 2019 Jan;201(1):77-82. doi: 10.1016/j.juro.2018.07.062.
5
Variants of acinar adenocarcinoma of the prostate mimicking benign conditions.前列腺腺样腺癌的各种变体,类似于良性病变。
Mod Pathol. 2018 Jan;31(S1):S64-70. doi: 10.1038/modpathol.2017.137.
6
The New Realization About Cribriform Prostate Cancer.关于筛状前列腺癌的新认识。
Adv Anat Pathol. 2018 Jan;25(1):31-37. doi: 10.1097/PAP.0000000000000168.
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Histopathology of Prostate Cancer.前列腺癌的组织病理学。
Cold Spring Harb Perspect Med. 2017 Oct 3;7(10):a030411. doi: 10.1101/cshperspect.a030411.
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