Quantification of extraprostatic extension in prostate cancer: different parameters correlated to biochemical recurrence after radical prostatectomy.

Abstract:

AIMS:Different methods to substage extraprostatic extension (EPE) were correlated with biochemical recurrence (BCR) after radical prostatectomy (RP). METHODS AND RESULTS:  A total of 157 consecutive RP specimens with EPE were completely embedded. Twenty-three patients with adjuvant therapy or detectable postoperative PSA levels were excluded, leaving 134 patients for BCR analysis. Data were analysed using Kaplan-Meier survival and Cox regression analyses. In univariate analysis, maximal radial distance (RD) was associated with BCR as continuous (P = 0.006) and dichotomous (P = 0.002) parameters. In multivariate analysis, independent predictors of BCR were preoperative prostate-specific antigen (PSA) (P = 0.006), Gleason score (P = 0.001), positive surgical margins (P = 0.005), maximal RD dichotomized at 0.6 mm [= one high-power field (HPF)]; hazard ratio (HR) 3.4; 95% confidence interval (CI) 1.48-7.85; P = 0.004), total RD (P = 0.009) and EPE quantification according to Epstein (P = 0.002) and to Wheeler (P = 0.004). The 5-year risk of BCR was 20% (95% CI 0.65-0.94) in patients with RD ≤ 0.6 mm and 47% (95% CI: 0.41-0.65) with RD > 0.6 mm. The restriction of focal EPE in no more than two slides (Epstein and Wheeler) gave no better results. CONCLUSIONS:Maximal RD dichotomized at one HPF is an objective method to subdivide EPE and a strong, independent predictor for BCR after RP. Its use is recommended for substaging pT3a in future TNM classifications.

journal_name

Histopathology

journal_title

Histopathology

authors

van Veggel BA,van Oort IM,Witjes JA,Kiemeney LA,Hulsbergen-van de Kaa CA

doi

10.1111/j.1365-2559.2011.03986.x

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

692-702

issue

4

eissn

0309-0167

issn

1365-2559

journal_volume

59

pub_type

杂志文章
  • Evaluation of automated silver-enhanced in situ hybridization (SISH) for detection of HER2 gene amplification in breast carcinoma excision and core biopsy specimens.

    abstract:AIMS:To validate the use of the silver-enhanced in situ hybridization (SISH) technique in assessing HER2 status of breast carcinoma in excision biopsy specimens, and to assess its reliability in determining HER2 status in core biopsy specimens. METHODS AND RESULTS:Routinely processed paraffin sections of 65 excised br...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2008.03185.x

    authors: Shousha S,Peston D,Amo-Takyi B,Morgan M,Jasani B

    更新日期:2009-01-01 00:00:00

  • Why did they change that? Practical implications of the evolving classification of neuroendocrine tumours of the gastrointestinal tract.

    abstract::Neuroendocrine neoplasms (NENs) of the gastrointestinal tract (GIT) comprise neuroendocrine tumours (NETs) and neuroendocrine carcinomas (NECs). During the last decade the classification and grading of GIT NENs has undergone significant changes, culminating in the World Health Organisation (WHO) 2019 classification. T...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.14172

    authors: Gill AJ

    更新日期:2021-01-01 00:00:00

  • Diversion colitis in children: an iatrogenic appendix vermiformis?

    abstract:AIMS:Diversion colitis (DC) is a localized, relatively benign, iatrogenic condition which occurs in almost 100% of diverted colonic segments in patients who undergo ileostomy/colostomy for various reasons. The aim of this study was to establish histological features of DC in children. METHODS AND RESULTS:Twenty-three ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.2000.00803.x

    authors: Vujanić GM,Dojcinov SD

    更新日期:2000-01-01 00:00:00

  • Comparative analysis and clinical value of the expression of metalloproteases and their inhibitors by intratumour stromal mononuclear inflammatory cells and those at the invasive front of breast carcinomas.

    abstract:AIMS:Matrix metalloproteases (MMPs) and their inhibitors (TIMPs) play an essential role in the degradation of stromal connective tissue and basement membrane components. The aim of this study was to determine whether the dynamic analysis of these components can help to predict tumour aggressiveness. METHODS AND RESULT...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2010.03723.x

    authors: González LO,González-Reyes S,Marín L,González L,González JM,Lamelas ML,Merino AM,Rodríguez E,Pidal I,del Casar JM,Andicoechea A,Vizoso F

    更新日期:2010-12-01 00:00:00

  • Overexpression of BRCA1 or BRCA2 in prostatectomy specimens is predictive of biochemical recurrence after radical prostatectomy.

    abstract:AIMS:To investigate the protein expressions of breast cancer 1 (BRCA1) and 2 (BRCA2) in prostatectomy specimens of localized prostate cancer (PC) patients, along with their associations with cancer characteristics and prognosis. METHODS AND RESULTS:Immunohistochemistry for BRCA1 and BRCA2 was performed on tissue micro...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12809

    authors: Kim SH,Park WS,Yun SI,Joo J,Joung JY,Seo HK,Chung J,Lee GK,Lee KH

    更新日期:2016-04-01 00:00:00

  • Cerebral ganglioglioma with anaplastic oligodendroglial component.

    abstract::We report an unusual and possibly unique example of cerebral ganglioglioma with an anaplastic oligodendroglial component. The latter was documented on both morphological and immunohistochemical grounds. Immunohistochemically, the anaplastic cells were strongly positive with the monoclonal antibody anti-Leu-7, while th...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1990.tb00765.x

    authors: Allegranza A,Pileri S,Frank G,Ferracini R

    更新日期:1990-11-01 00:00:00

  • Renal interstitial foam cells are macrophages.

    abstract::Immunohistochemical studies on renal biopsies from eight patients with various types of glomerulonephritis showed that the interstitial foam cells belonged to the monocyte-macrophage lineage. There was a strong association between hypercholesterolaemia and the presence of renal interstitial foam cells. ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1992.tb00949.x

    authors: Franco M,Schmitt F,Rejaili WA,Viero RM,Bacchi CE

    更新日期:1992-02-01 00:00:00

  • Morphological patterns of the liver in South American blastomycosis.

    abstract::Histological features were semi-quantitatively analysed in 60 livers, obtained by necropsy, from patients who died of South American blastomycosis. These findings were classified and correlated with duration of the disease and treatment. Bile-duct lesions were prominent and a particular pattern was found in which segm...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1978.tb01716.x

    authors: Teixeira F,Gayotto LC,De Brito T

    更新日期:1978-07-01 00:00:00

  • Detailed analysis of the T-cell lymphocytic infiltrate in penile lichen sclerosus: an immunohistochemical and molecular investigation.

    abstract:AIM:To determine the extent of clonal outgrowth in the lymphocytic tissue infiltrate of lichen sclerosus (LS). The presence of T cells with a monoclonally rearranged T-cell receptor gamma-gene (TCRgamma) has been described in up to 50% of biopsies of vulvar and penile LS. MATERIAL AND RESULTS:We analysed 33 foreskin s...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2006.02406.x

    authors: Regauer S,Beham-Schmid C

    更新日期:2006-05-01 00:00:00

  • Low-grade metaplastic carcinoma of the thymus.

    abstract:AIMS:Five cases of a characteristic low-grade thymic epithelial tumour are described that we suggest calling metaplastic carcinoma of the thymus. METHODS AND RESULTS:The patients' ages ranged from 44 to 71 (mean 56.2) years. Four of the patients were male. Three of five tumours showed invasion into mediastinal fat or ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1999.00691.x

    authors: Yoneda S,Marx A,Heimann S,Shirakusa T,Kikuchi M,Müller-Hermelink HK

    更新日期:1999-07-01 00:00:00

  • EGF-receptors in human normal and pathological thyroid tissue.

    abstract::Expression of the epidermal growth factor receptor (EGFR) was studied in cryosections from human thyroid tissues. Normal tissue (4 cases), nodular goitre (12), toxic goitre (9), adenoma (9), follicular carcinoma (1), papillary carcinoma (7) and poorly differentiated carcinoma (1) were used for immunohistochemistry. No...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1996.d01-427.x

    authors: Westermark K,Lundqvist M,Wallin G,Dahlman T,Hacker GW,Heldin NE,Grimelius L

    更新日期:1996-03-01 00:00:00

  • Histological indicators of prognosis in glioblastomas: retinoblastoma protein expression and oligodendroglial differentiation indicate improved survival.

    abstract:AIM:To assess the potential prognostic significance of a range of molecular and morphological parameters in glioblastomas that can be applied in the setting of a routine diagnostic neuropathology laboratory. METHODS AND RESULTS:A consecutive series of 107 adult glioblastomas were studied. Retinoblastoma and deleted-in...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2004.01887.x

    authors: Hilton DA,Penney M,Pobereskin L,Sanders H,Love S

    更新日期:2004-06-01 00:00:00

  • Congenital absence of insulin-secreting cells.

    abstract::A male infant was diagnosed as having diabetes mellitus 1 d after birth and died on the third day. Histological examination of the pancreas showed small and inconspicuous islets of Langerhans that were completely devoid of insulin-secreting cells. There was no evidence of insulitis. ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1988.tb01974.x

    authors: Wong KC,Tse K,Chan JK

    更新日期:1988-05-01 00:00:00

  • Rhabdomyomatosis of the newborn lung unassociated with other malformations.

    abstract:AIMS:To describe a case of rhabdomyomatosis of the lung unassociated with other external or visceral malformations in a newborn infant. METHODS AND RESULTS:A 26 weeks gestation newborn male with no relevant medical or family history presented a well-circumscribed solid area in the posterior mediastinum occupying the u...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1997.2830880.x

    authors: Hardisson D,García-Jiménez JA,Jiménez-Heffernan JA,Nistal M

    更新日期:1997-11-01 00:00:00

  • Pathological evaluation of the staging axillary lymph nodes for breast cancer: a national survey in the United Kingdom.

    abstract:AIMS:The handling and examination of sentinel lymph nodes (SLNs) to detect metastasis is critical in the assessment of early breast cancer patients. This survey investigates the variation in practise followed by pathology units across the United Kingdom in the staging evaluation of axillary lymph nodes (ALNs). METHODS...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12440

    authors: Verma R,Sundara Rajan S,Verghese ET,Horgan K,Hanby AM,Lane S

    更新日期:2014-11-01 00:00:00

  • Structural and cell surface antigen expression in the rete ovarii and epoophoron differs from that in the Fallopian tube and in endometriosis.

    abstract:AIMS:We compared the immunohistochemical profiles of the rete ovarii and endometriosis in order to identify a panel which distinguishes between these structures. The immune profiles of the epoophoron, Fallopian tube and ovarian surface epithelium were also studied. MATERIALS AND METHODS:Twenty-four women with no evide...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.2000.00938.x

    authors: Russo L,Woolmough E,Heatley MK

    更新日期:2000-07-01 00:00:00

  • Microvessel density for melanoma prognosis.

    abstract:AIMS:Two-hundred and four accessible cases of malignant melanoma from the Grampian region of Scotland, collected over a period of 4 years, were studied for standard prognostic indicators for comparison with microvessel density. METHODS AND RESULTS:The range of tumour thickness varied from in-situ melanoma to 14.8 mm. ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2005.02193.x

    authors: Depasquale I,Thompson WD

    更新日期:2005-08-01 00:00:00

  • Nuclear pleomorphism in typical carcinoid tumours of the lung: problems in frozen section interpretation.

    abstract::Pulmonary typical carcinoid tumours are generally easy to diagnose with their uniform cells, carcinoid growth pattern and lack of mitoses. However, nuclear pleomorphism, which is common in other neuroendocrine tumours, is not emphasized in pulmonary carcinoid tumours. Three cases of typical carcinoid tumours, because ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1997.5430778.x

    authors: Sheppard MN

    更新日期:1997-05-01 00:00:00

  • Human salivary gland morphogenesis: myoepithelial cell maturation assessed by immunohistochemical markers.

    abstract:AIMS:Myoepithelial cells are important components of salivary gland structure, aiding the expulsion of saliva from acinar lobules. The aim was to evaluate the expression of smooth muscle actin (SMA), calponin, caldesmon, CD10, CD29, S100 protein, glial fibrillary acidic protein (GFAP) and p63 in myoepithelial cells dur...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2010.03645.x

    authors: Ianez RF,Buim ME,Coutinho-Camillo CM,Schultz R,Soares FA,Lourenço SV

    更新日期:2010-09-01 00:00:00

  • An immunohistochemical analysis-based decision tree model for estimating the risk of lymphatic metastasis in pN0 squamous cell carcinomas of the lung.

    abstract:AIMS:Lung cancer patients within the pN0 category have a significantly different outcome. The aim of this study was to develop a mathematical model to assist in predicting the prognosis of pN0 lung squamous cell carcinoma (SCC). METHODS AND RESULTS:Twenty-three proteins were examined by immunohistochemical (IHC) analy...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2011.04013.x

    authors: Liu Y,Lin D,Xiao T,Ma Y,Hu Z,Zheng H,Zheng S,Liu Y,Li M,Li L,Cao Y,Guo S,Han N,Di X,Zhang K,Cheng S,Gao Y

    更新日期:2011-11-01 00:00:00

  • Prognostic indicators in breast cancer--morphometric methods.

    abstract::Morphometric methods were applied to predict the clinical course of individual patients with breast cancer. Measurement of tumour diameter, assessment of mitotic and cellular indices, and quantitative microscopy of nuclear features were assessed together with nuclear features and histological grades. Of the tumours fr...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1982.tb02727.x

    authors: Baak JP,Kurver PH,De Snoo-Niewlaat AJ,De Graef S,Makkink B,Boon ME

    更新日期:1982-05-01 00:00:00

  • Pancreatic metaplasia of the human gastric mucosa is associated with high expression of transforming growth factor alpha but not of epidermal growth factor.

    abstract::Pancreatic acinar metaplasia of the gastric mucosa is a newly recognized entity. Its physiological relevance and association with other pathological conditions in the stomach remain to be elucidated. We studied by immunohistochemistry the expression of growth markers in the gastric mucosa in biopsies from 15 patients ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1995.tb00321.x

    authors: Stachura J,Konturek J,Urbańczyk K,Bogdal J,Domschke W

    更新日期:1995-12-01 00:00:00

  • Adult granulosa cell tumour-like areas occurring in ovarian epithelial neoplasms: report of a case series with investigation of FOXL2 mutation status.

    abstract:AIMS:To look for FOXL2 mutation in rare ovarian epithelial lesions showing stromal components with morphological features of adult granulosa cell tumour (AGCT). METHODS AND RESULTS:We report the 402C→G FOXL2 mutation status in five epithelial ovarian lesions in women aged 45-77 years showing stromal proliferations tha...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12314

    authors: Singh N,Gilks CB,Huntsman DG,Smith JH,Coutts M,Ganesan R,McCluggage WG

    更新日期:2014-04-01 00:00:00

  • Ulceration and prognosis in cutaneous malignant melanoma.

    abstract::A review of 1818 patients with cutaneous malignant melanoma revealed that for both patients with localized disease (clinical stage I) and those with regional lymph node metastases at first presentation (clinical stage II), ulceration of the primary lesion was a poor prognostic sign. Although ulcerated lesions tended t...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1982.tb02737.x

    authors: McGovern VJ,Shaw HM,Milton GW,McCarthy WH

    更新日期:1982-07-01 00:00:00

  • Glandular lesions of the uterine cervix: the present state of our knowledge.

    abstract::The assessment of squamous lesions of the uterine cervix is a major preoccupation of diagnostic histopathologists and this can overshadow the recognition of significant abnormalities affecting the adjacent endocervical glands. This review gives an account of recent advances in our knowledge of the histology and histoc...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1986.tb02578.x

    authors: Wells M,Brown LJ

    更新日期:1986-08-01 00:00:00

  • Allergic inflammatory reaction is involved in necrosis of human pulmonary dirofilariasis.

    abstract:AIMS:To determine whether, in view of the massive inflammatory cell infiltration and the rounded rather than wedge-shaped character of pulmonary lesions in dirofilariasis, the inflammatory response against the worm contributes to the coagulative necrosis, in addition to an ischaemic process. METHODS AND RESULTS:The hi...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02822.x

    authors: Araya J,Kawabata Y,Tomichi N,Kaneko K,Hayashi K,Iwabuchi K,Terasaki Y,Kawashima T,Watanabe M

    更新日期:2007-10-01 00:00:00

  • Inflammatory disease of the bile ducts-cholangiopathies: liver biopsy challenge and clinicopathological correlation.

    abstract::Liver biopsy challenge and clinicopathological correlation Liver biopsy interpretation in inflammatory diseases of the bile ducts or chronic cholangiopathies may be challenging, especially for pathologists working outside referral centres, where there is a limited exposure to relatively uncommon conditions. In view of...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2559.2011.03853.x

    authors: Portmann B,Zen Y

    更新日期:2012-01-01 00:00:00

  • Chief cell-predominant gastric polyps: a series of 12 cases with literature review.

    abstract:AIMS:Rare gastric lesions composed of a combined proliferation of chief and oxyntic cells have been variably called adenocarcinoma of fundic gland type and oxyntic gland polyp/adenoma. Herein, we present a series of cases that show a morphological spectrum of chief and oxyntic cell proliferations. METHODS AND RESULTS:...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/his.12859

    authors: Chan K,Brown IS,Kyle T,Lauwers GY,Kumarasinghe MP

    更新日期:2016-05-01 00:00:00

  • Global Gleason grade groups in prostate cancer: concordance of biopsy and radical prostatectomy grades and predictors of upgrade and downgrade.

    abstract:AIMS:To evaluate concordance, upgrades and downgrades from biopsy to prostatectomy, and associated clincopathological parameters, using the recently proposed Gleason grade groups/International Society of Urologic Pathology (ISUP) grades. METHODS AND RESULTS:We evaluated 2529 patients who underwent biopsy and prostatec...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13179

    authors: Athanazio D,Gotto G,Shea-Budgell M,Yilmaz A,Trpkov K

    更新日期:2017-06-01 00:00:00

  • Association of breast carcinoma and multiple intraductal papillomas: an histological and immunohistochemical investigation.

    abstract::To identify histological preneoplastic lesions and early neoplastic foci, a histological and immunohistochemical study has been conducted on a series of 18 cases with the rare association of multiple intraductal papillomas and in situ breast carcinoma. The pathological and clinical data of these cases have been collat...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1984.tb02414.x

    authors: Papotti M,Gugliotta P,Ghiringhello B,Bussolati G

    更新日期:1984-11-01 00:00:00