Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology

Abstract Objectives This study aims to investigate whether a cribriform pattern on prostate biopsy may be a factor in suspicion of intraductal carcinoma of the prostate after radical prostatectomy. Methods This retrospective study assessed 100 men who underwent prostatectomy from 2015 to 2019. Parti...

Full description

Bibliographic Details
Main Authors: Ei Shiomi, Renpei Kato, Mitugu Kanehira, Ryo Takata, Jun Sugimura, Yasuyuki Nakamura, Takashi Ujiie, Takaya Abe, Wataru Obara
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:BJUI Compass
Subjects:
Online Access:https://doi.org/10.1002/bco2.201
_version_ 1797852951490854912
author Ei Shiomi
Renpei Kato
Mitugu Kanehira
Ryo Takata
Jun Sugimura
Yasuyuki Nakamura
Takashi Ujiie
Takaya Abe
Wataru Obara
author_facet Ei Shiomi
Renpei Kato
Mitugu Kanehira
Ryo Takata
Jun Sugimura
Yasuyuki Nakamura
Takashi Ujiie
Takaya Abe
Wataru Obara
author_sort Ei Shiomi
collection DOAJ
description Abstract Objectives This study aims to investigate whether a cribriform pattern on prostate biopsy may be a factor in suspicion of intraductal carcinoma of the prostate after radical prostatectomy. Methods This retrospective study assessed 100 men who underwent prostatectomy from 2015 to 2019. Participants were grouped as 76 patients with Gleason pattern 4 and 24 patients without this pattern. All 100 participants underwent retrograde radical prostatectomy and limited lymph node dissection. The same pathologist evaluated all specimens. The cribriform pattern was evaluated with haematoxylin and eosin counterstaining, and intraductal carcinoma of the prostate was evaluated with immunohistochemical analysis of cytokeratin 34βE12. Results Patients with intraductal carcinoma of the prostate on immunohistochemical analysis showed a significant tendency to relapse in the postoperative period, and those with the cribriform pattern on biopsy had a significant recurrence rate. In univariate and multivariate analyses, intraductal carcinoma of the prostate confirmed in biopsy tissue was an independent predictor of biochemical recurrence after prostatectomy. The rate of intraductal carcinoma of the prostate confirmation was 28% of cases with a cribriform pattern in biopsy tissue, which was increased to 62% in prostatectomy tissues. Conclusion The cribriform pattern in the biopsy tissue may be a predictor for intraductal carcinoma of the prostate.
first_indexed 2024-04-09T19:42:39Z
format Article
id doaj.art-ee98a5bfaef540c0a1b124dcf76f6ad1
institution Directory Open Access Journal
issn 2688-4526
language English
last_indexed 2024-04-09T19:42:39Z
publishDate 2023-05-01
publisher Wiley
record_format Article
series BJUI Compass
spelling doaj.art-ee98a5bfaef540c0a1b124dcf76f6ad12023-04-04T05:34:43ZengWileyBJUI Compass2688-45262023-05-014333934510.1002/bco2.201Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathologyEi Shiomi0Renpei Kato1Mitugu Kanehira2Ryo Takata3Jun Sugimura4Yasuyuki Nakamura5Takashi Ujiie6Takaya Abe7Wataru Obara8Iwate Prefectural Ofunato Hospital Ofunato JapanIwate Medical University Iwate JapanIwate Medical University Iwate JapanIwate Medical University Iwate JapanIwate Medical University Iwate JapanIwate Prefectural Ofunato Hospital Ofunato JapanIwate Prefectural Ofunato Hospital Ofunato JapanIwate Medical University Iwate JapanIwate Medical University Iwate JapanAbstract Objectives This study aims to investigate whether a cribriform pattern on prostate biopsy may be a factor in suspicion of intraductal carcinoma of the prostate after radical prostatectomy. Methods This retrospective study assessed 100 men who underwent prostatectomy from 2015 to 2019. Participants were grouped as 76 patients with Gleason pattern 4 and 24 patients without this pattern. All 100 participants underwent retrograde radical prostatectomy and limited lymph node dissection. The same pathologist evaluated all specimens. The cribriform pattern was evaluated with haematoxylin and eosin counterstaining, and intraductal carcinoma of the prostate was evaluated with immunohistochemical analysis of cytokeratin 34βE12. Results Patients with intraductal carcinoma of the prostate on immunohistochemical analysis showed a significant tendency to relapse in the postoperative period, and those with the cribriform pattern on biopsy had a significant recurrence rate. In univariate and multivariate analyses, intraductal carcinoma of the prostate confirmed in biopsy tissue was an independent predictor of biochemical recurrence after prostatectomy. The rate of intraductal carcinoma of the prostate confirmation was 28% of cases with a cribriform pattern in biopsy tissue, which was increased to 62% in prostatectomy tissues. Conclusion The cribriform pattern in the biopsy tissue may be a predictor for intraductal carcinoma of the prostate.https://doi.org/10.1002/bco2.201biochemical recurrencecribriform patternGleason 4intraductal carcinoma of prostatepredictor
spellingShingle Ei Shiomi
Renpei Kato
Mitugu Kanehira
Ryo Takata
Jun Sugimura
Yasuyuki Nakamura
Takashi Ujiie
Takaya Abe
Wataru Obara
Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology
BJUI Compass
biochemical recurrence
cribriform pattern
Gleason 4
intraductal carcinoma of prostate
predictor
title Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology
title_full Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology
title_fullStr Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology
title_full_unstemmed Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology
title_short Cribriform pattern in prostate tissues: Predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology
title_sort cribriform pattern in prostate tissues predictor for intraductal carcinoma of the prostate based on biopsy and radical prostatectomy pathology
topic biochemical recurrence
cribriform pattern
Gleason 4
intraductal carcinoma of prostate
predictor
url https://doi.org/10.1002/bco2.201
work_keys_str_mv AT eishiomi cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT renpeikato cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT mitugukanehira cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT ryotakata cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT junsugimura cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT yasuyukinakamura cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT takashiujiie cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT takayaabe cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology
AT wataruobara cribriformpatterninprostatetissuespredictorforintraductalcarcinomaoftheprostatebasedonbiopsyandradicalprostatectomypathology