Prostatic diffuse adenosis of the peripheral zone. A case report [Adenosis difusa de la zona perifrica de la prstata]
Por:
Arista-Nasr J., Dorantes-Heredia R., Uribe-Uribe N., Arispe-Angulo K.R., Llamas-Gutiérrez F.J.
Publicada:
1 ene 2011
Resumen:
Prostatic diffuse adenosis of the peripheral zone (DAPZ) is a recently described entity (Lotan and Epstein, 2008). It characteristically shows densely packed small acini and small or medium size glands irregularly spread along the peripheral zone, which can simulate prostatic adenocarcinoma. Most patients are men under 55. years of age, with mild PSA elevations (mean 5.4 ng/mL).We present two cases of DAPZ. Although needle core biopsies had some areas resembling adenocarcinoma, immunostaining demonstrated the presence of basal cells in glands showing a pseudoinfiltrative pattern. It must be emphasized that prostatic peripheral zone diffuse adenosis is a risk factor for adenocarcinoma and that in nearly 50% of cases adenocarcinoma will be found in subsequent biopsies. © 2011 SEAP y SEC.
Filiaciones:
Arista-Nasr J.:
Departamento de Anatomía Patológica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México D.F., Mexico
Dorantes-Heredia R.:
Departamento de Anatomía Patológica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México D.F., Mexico
Uribe-Uribe N.:
Departamento de Anatomía Patológica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México D.F., Mexico
Arispe-Angulo K.R.:
Departamento de Anatomía Patológica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México D.F., Mexico
Llamas-Gutiérrez F.J.:
Departamento de Anatomía Patológica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México D.F., Mexico
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