Atypical small acinar proliferation and its significance in pathological reports in modern urological times.
Atypical small cell proliferation
Grade
Lesion suspicious for cancer
Prostate cancer
Repeat biopsy
Significant cancer
Journal
Asian journal of urology
ISSN: 2214-3882
Titre abrégé: Asian J Urol
Pays: Singapore
ID NLM: 101699720
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
01
02
2020
revised:
11
05
2020
accepted:
08
09
2020
entrez:
24
2
2022
pubmed:
25
2
2022
medline:
25
2
2022
Statut:
ppublish
Résumé
Atypical small acinar proliferation is a histopathological diagnosis of unspecified importance in prostate needle-biopsy reports, suggestive but not definitive for cancer. The terminology corresponds to some uncertainty in the biopsy report, as the finding might represent an underlying non-cancerous pathology mimicking cancer or an under-sampled prostate cancer site. Therefore, traditional practice favors an immediate repeat biopsy. However, in modern urological times, the need of urgent repeat biopsy is being challenged by some authors as in the majority of cases, the grade of cancer found in subsequent biopsy is reported to be low or the disease to be non-significant. On the other hand, high risk disease cannot be excluded, whereas no clinical or pathological factors can predict the final outcome. In this review, we discuss the significance of the diagnosis of atypical small acinar proliferation in the biopsy report, commenting on its importance in modern urological practice.
Identifiants
pubmed: 35198392
doi: 10.1016/j.ajur.2021.04.008
pii: S2214-3882(21)00031-X
pmc: PMC8841244
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
12-17Informations de copyright
© 2022 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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