Медицинская и хирургическая урология
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Efficacy of Supportive Histo-morphological Features in Prostate Cancer Diagnosis

Adu Gyamfi M, Owusu-Afriyie Osei and Osabutey CK

Abstract:  Prostate cancer is a major disease of concern in adult males. Histological architectural heterogeneity has rendered challenges to diagnosis. Definitive diagnosis has been relied on Pathologist subjectivity. Major histologic features of infiltrative growth pattern, nuclear atypia and loss of basal cell on the prostate epithelium remain the most common features observed for in histopathological diagnosis. However benign mimicry of these features poses challenges to definitive diagnosis. Increasing frequency of supportive histologic features of prominent nucleoli, collagenous micronodules, perineural invasion, blue tinged mucinous secretions and intraluminal crystalloids which previously were unknown is making advancement in the diagnostic library as an additive protocol. In this study we sought to observe the frequencies of these supportive histologic features on a needle biopsy of prostate cancers. Mean age of diagnosis of prostate diseases was 69.15 ± 11.24 with incidence of prostate diseases as Benign Prostate Hyperplasia 148(50.6%), Prostate Carcinoma, 114(39.0%), Prostatitis 22(7.5%) and others 8(2.7%). In this inspection we found significant numbers of supportive histologic features on prostate cancer cases. Perineural invasion (38.1%), prominent nucleoli (34.3%), collagenous micro nodules (12.7%), intraluminal crystalloids (9.0%) and blue tinged mucinous secretions (6.0%) were explicitly expressed. The findings points to the consideration of these supportive histomorphological features in the histo-pathologic diagnosis of prostate carcinoma.