Skip to main content

Histologic Variants of Acinar Adenocarcinoma, Ductal Adenocarcinoma, Neuroendocrine Tumors, and Other Carcinomas

  • Chapter
  • First Online:

Abstract

Histologic variants of prostate acinar adenocarcinoma, ductal adenocarcinoma, neuroendocrine tumors, and other carcinomas account for 5–10% of prostate carcinomas and frequently are associated with ordinary acinar prostate adenocarcinoma. The morphologic spectrum of histologic variants of acinar adenocarcinoma ranges from tumors often resembling benign conditions, such as foamy and pseudohyperplastic carcinoma, to highly aggressive forms, such as sarcomatoid carcinoma. These histologic variants of acinar adenocarcinoma, ductal adenocarcinoma, neuroendocrine tumors, and other carcinomas often differ from acinar carcinoma in clinical, immunophenotypic, ultrastructural, or genetic features. Some of this histologic spectrum also differ in prognosis and may necessitate a different therapeutic approach. This chapter outlines important clinical and pathologic characteristics of histologic variants of acinar adenocarcinoma, ductal adenocarcinoma, neuroendocrine tumors, and other carcinomas.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Humphrey PA. Variants of acinar adenocarcinoma of the prostate mimicking benign conditions. Mod Pathol. 2018;31:S64–70.

    Article  PubMed  Google Scholar 

  2. Moch H, Humphrey PA, Ulbright TM, Reuter VE, editors. WHO classification of tumours of the urinary system and male genital organs. Lyon: International Agency for Research on Cancer; 2016.

    Google Scholar 

  3. Brimo F, Epstein JI. Immunohistochemical pitfalls in prostate pathology. Hum Pathol. 2012;43:313–24.

    Article  CAS  PubMed  Google Scholar 

  4. Wolters T, van der Kwast TH, Vissers CJ, Bangma CH, Roobol M, Schröder FH, et al. False-negative prostate needle biopsies: frequency, histopathologic features, and follow-up. Am J Surg Pathol. 2010;34:35–43.

    Article  PubMed  Google Scholar 

  5. Yaskiv O, Cao D, Humphrey PA. Microcystic adenocarcinoma of the prostate: a variant of pseudohyperplastic and atrophic patterns. Am J Surg Pathol. 2010;34:556–61.

    Article  PubMed  Google Scholar 

  6. Lane BR, Magi-Galluzzi C, Reuther AM, Levin HS, Zhou M, Klein EA. Mucinous adenocarcinoma of the prostate does not confer poor prognosis. Urology. 2006;68:825–30.

    Article  PubMed  Google Scholar 

  7. Han B, Mehra R, Suleman K, Tomlins SA, Wang L, Singhal N, et al. Characterization of ETS gene aberrations in select histologic variants of prostate carcinoma. Mod Pathol. 2009;22:1176–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Parwani AV, Herawi M, Epstein JI. Pleomorphic giant cell adenocarcinoma of the prostate: report of 6 cases. Am J Surg Pathol. 2006;30:1254–9.

    Article  PubMed  Google Scholar 

  9. Hansel DE, Epstein JI. Sarcomatoid carcinoma of the prostate: a study of 42 cases. Am J Surg Pathol. 2006;30:1316–21.

    Article  PubMed  Google Scholar 

  10. Hameed O, Humphrey PA. Stratified epithelium in prostatic adenocarcinoma: a mimic of high-grade prostatic intraepithelial neoplasia. Mod Pathol. 2006;19:899–906.

    Article  PubMed  Google Scholar 

  11. Tavora F, Epstein JI. High-grade prostatic intraepithelial neoplasialike ductal adenocarcinoma of the prostate: a clinicopathologic study of 28 cases. Am J Surg Pathol. 2008;32:1060–7.

    Article  PubMed  Google Scholar 

  12. Zhou M. High-grade prostatic intraepithelial neoplasia, PIN-like carcinoma, ductal carcinoma, and intraductal carcinoma of the prostate. Mod Pathol. 2018;31:S71–9.

    Article  PubMed  Google Scholar 

  13. Brinker DA, Potter SR, Epstein JI. Ductal adenocarcinoma of the prostate diagnosed on needle biopsy: correlation with clinical and radical prostatectomy findings and progression. Am J Surg Pathol. 1999;23:1471–9.

    Article  CAS  PubMed  Google Scholar 

  14. Dube VE, Farrow GM, Greene LF. Prostatic adenocarcinoma of ductal origin. Cancer. 1973;32:402–9.

    Article  CAS  PubMed  Google Scholar 

  15. Aggarwal R, Zhang T, Small EJ, Armstrong AJ. Neuroendocrine prostate cancer: subtypes, biology, and clinical outcomes. J Natl Compr Cancer Netw. 2014;12:719–26.

    Article  Google Scholar 

  16. Epstein JI, Amin MB, Beltran H, Lotan TL, Mosquera JM, Reuter VE, et al. Proposed morphologic classification of prostate cancer with neuroendocrine differentiation. Am J Surg Pathol. 2014;38:756–67.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Lotan TL, Gupta NS, Wang W, Toubaji A, Haffner MC, Chaux A, et al. ERG gene rearrangements are common in prostatic small cell carcinomas. Mod Pathol. 2011;24:820–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Shen SS, Lerner SP, Muezzinoglu B, Truong LD, Amiel G, Wheeler TM. Prostatic involvement by transitional cell carcinoma in patients with bladder cancer and its prognostic significance. Hum Pathol. 2006;37:726–34.

    Article  PubMed  Google Scholar 

  19. Kunju LP, Mehra R, Snyder M, Shah RB. Prostate-specific antigen, high-molecular-weight cytokeratin (clone 34betaE12), and/or p63: an optimal immunohistochemical panel to distinguish poorly differentiated prostate adenocarcinoma from urothelial carcinoma. Am J Clin Pathol. 2006;125:675–81.

    Article  CAS  PubMed  Google Scholar 

  20. McKenney JK, Amin MB, Srigley JR, Jimenez RE, Ro JY, Grignon DJ, et al. Basal cell proliferations of the prostate other than usual basal cell hyperplasia: a clinicopathologic study of 23 cases, including four carcinomas, with a proposed classification. Am J Surg Pathol. 2004;28:1289–98.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rajal B. Shah .

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Shah, R.B., Zhou, M. (2019). Histologic Variants of Acinar Adenocarcinoma, Ductal Adenocarcinoma, Neuroendocrine Tumors, and Other Carcinomas. In: Prostate Biopsy Interpretation. Springer, Cham. https://doi.org/10.1007/978-3-030-13601-7_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-13601-7_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-13600-0

  • Online ISBN: 978-3-030-13601-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics