Abstract
Prostate needle core biopsy (PNB) can generate a great deal of information that is useful for assessing the prognosis of prostate cancer and providing essential guidance for successful therapeutic interventions such as radical prostatectomy. If a PNB is positive for adenocarcinoma, the following information should be provided in the pathology report: (1) location of the carcinoma, usually indicated in each part (location); (2) Gleason score (not a single grade) in each core (even for a small focus); (3) the number of positive cores of the total cores examined for each part or side; (4) the percentage of adenocarcinoma in each core and the highest percentage of a single core; (5) the presence of perineural invasion or extraprostatic extension; (6) special features of adenocarcinoma, such as neuroendocrine differentiation and ductal differentiation; and (7) immunohistochemical staining results if available. All these measures can be obtained on visual inspection without a micrometer.
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References
Badalament RA, Craig MM, Peller PA, Young DC, Bahn DK, Kochie P, O’Dowd GJ, Veltri RW (1996) An algorithm for predicting nonorgan confined prostate cancer using the results obtained from sextant core biopsies with prostatic specific antigen level. J Urol 156:1375–1380.
Epstein JI, Potter SR (2001) The pathological interpretation and significance of prostate needle biopsy findings: implications and current controversies. J Urol 166:402–410.
Kunz GM, Epstein JI (2003) Should each core with prostate cancer be assigned a separate Gleason score? Hum Pathol 34;911–914.
Bismar TA, Lewis JS Jr, Vollmer RT, Humphrey PA (2003) Multiple measure of carcinoma extent versus perineural invasion in prostate needle biopsy tissue in prediction of pathologic stage in a screening population. Am J Surg Pathol 27:432–440.
Rubin MA, Bassily N, Sanda M, Montie J, Strawderman MS, Wojno K (2000) Relationship and significance of greatest percentage of tumor and perineural invasion on needle biopsy in prostatic adenocarcinoma. Am J Surg Pathol 24:183–189.
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(2008). What clinically useful information should be included in the pathology report on a prostate needle core biopsy? Are there specific microscopic findings useful when assessing cancer staging?. In: Questions in Daily Urologic Practice. Springer, Tokyo. https://doi.org/10.1007/978-4-431-72819-1_16
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DOI: https://doi.org/10.1007/978-4-431-72819-1_16
Publisher Name: Springer, Tokyo
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