1. Intraductal Carcinoma of the Prostate without High-Grade Invasive Adenocarcinoma: Report of Two Cases and Review of the Literature.
- Author
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Ortiz-Rey JA, Bellas-Pereira A, San Miguel-Fraile P, Morellón-Baquera R, Domínguez-Arístegui P, and González-Carreró Fojón J
- Subjects
- Male, Humans, Aged, Prostate pathology, Prostatectomy, Neoplasm Grading, Prostatic Intraepithelial Neoplasia genetics, Prostatic Intraepithelial Neoplasia pathology, Prostatic Intraepithelial Neoplasia surgery, Carcinoma, Intraductal, Noninfiltrating genetics, Carcinoma, Intraductal, Noninfiltrating pathology, Carcinoma, Intraductal, Noninfiltrating surgery, Prostatic Neoplasms pathology, Adenocarcinoma surgery
- Abstract
Objectives: Intraductal carcinoma of the prostate (IDC-P) is usually associated with high grade, aggresive acinar adenocarcinomas. IDC-P is supposed to result from the spread of the adenocarcinoma along the prostatic ducts. IDC-P rarely occurs without invasive carcinoma or with a coexistent low grade adenocarcinoma., Material and Methods: We report two patients, 66 and 75 year-old, who presented IDC-P and low-grade acinar adenocarcinoma foci in their radical prostatectomy surgical specimens., Results: Acinar adenocarcinomas were grade group 1, PTEN+, pT2. In the first case, the invasive adenocarcinoma was adjacent but nor intermingled with the IDC-P, and a discordance in the immunophenotype between them was outstanding (positivity for ERG in the acinar carcinoma being negative in the IDC-P). In the second case, the foci of adenocarcinoma were distant from the IDC-P. The first patient had not biochemical recurrence after a 34 month follow-up period., Conclusions: This kind of cases supports the existence of an infrequent subtype of IDC-P that could be considered as an in situ neoplasia.
- Published
- 2022
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