New and Emerging Diagnostic and Prognostic Immunohistochemical Biomarkers in Prostate Pathology.

Abstract:

:The diagnosis of minimal prostatic adenocarcinoma can be challenging on prostate needle biopsy, and immunohistochemistry may be used to support the diagnosis of cancer. The International Society of Urologic Pathology currently recommends the use of the basal cell markers high-molecular-weight cytokeraratin and p63, and α-methylacyl-coenzyme-A racemase. However, there are caveats associated with the interpretation of these markers, particularly with benign mimickers. Another issue is that of early detection of presence and progression of disease and prediction of recurrence after clinical intervention. There remains a lack of reliable biomarkers to accurately predict low-risk cancer and avoid over treatment. As such, aggressive forms of prostate cancer may be missed and indolent disease may be subjected to unnecessary radical therapy. New biomarker discovery promises to improve early detection and prognosis and to provide targets for therapeutic interventions. In this review, we present the emerging immunohistochemical biomarkers of prostate cancer PTEN, ERG, FASN, MAGI-2, and SPINK1, and address their diagnostic and prognostic advantages and limitations.

journal_name

Adv Anat Pathol

authors

Giannico GA,Arnold SA,Gellert LL,Hameed O

doi

10.1097/PAP.0000000000000136

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

35-44

issue

1

eissn

1072-4109

issn

1533-4031

pii

00125480-201701000-00004

journal_volume

24

pub_type

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