WHO Classification of Tumours fifth edition: evolving issues in the classification, diagnosis, and prognostication of prostate cancer.


Journal

Histopathology
ISSN: 1365-2559
Titre abrégé: Histopathology
Pays: England
ID NLM: 7704136

Informations de publication

Date de publication:
Oct 2022
Historique:
revised: 29 05 2022
received: 28 03 2022
accepted: 08 06 2022
pubmed: 28 6 2022
medline: 14 9 2022
entrez: 27 6 2022
Statut: ppublish

Résumé

The fifth edition of the WHO Classification of Tumours of the Urinary and Male Genital Systems encompasses several updates to the classification and diagnosis of prostatic carcinoma as well as incorporating advancements in the assessment of its prognosis, including recent grading modifications. Some of the salient aspects include: (1) recognition that prostatic intraepithelial neoplasia (PIN)-like carcinoma is not synonymous with a pattern of ductal carcinoma, but better classified as a subtype of acinar adenocarcinoma; (2) a specific section on treatment-related neuroendocrine prostatic carcinoma in view of the tight correlation between androgen deprivation therapy and the development of prostatic carcinoma with neuroendocrine morphology, and the emerging data on lineage plasticity; (3) a terminology change of basal cell carcinoma to "adenoid cystic (basal cell) cell carcinoma" given the presence of an underlying MYB::NFIB gene fusion in many cases; (4) discussion of the current issues in the grading of acinar adenocarcinoma and the prognostic significance of cribriform growth patterns; and (5) more detailed coverage of intraductal carcinoma of prostate (IDC-P) reflecting our increased knowledge of this entity, while recommending the descriptive term atypical intraductal proliferation (AIP) for lesions falling short of IDC-P but containing more atypia than typically seen in high-grade prostatic intraepithelial neoplasia (HGPIN). Lesions previously regarded as cribriform patterns of HGPIN are now included in the AIP category. This review discusses these developments, summarising the existing literature, as well as the emerging morphological and molecular data that underpins the classification and prognostication of prostatic carcinoma.

Identifiants

pubmed: 35758185
doi: 10.1111/his.14711
pmc: PMC9542779
doi:

Substances chimiques

Androgen Antagonists 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

447-458

Informations de copyright

© 2022 The Authors. Histopathology published by John Wiley & Sons Ltd.

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Auteurs

James G Kench (JG)

Department of Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, NSW Health Pathology, Camperdown, New South Wales, Australia.
The University of Sydney, Camperdown, New South Wales, Australia.

Mahul B Amin (MB)

The University of Tennessee Health Science Center, Memphis, TN, USA.

Daniel M Berney (DM)

Department of Cellular Pathology, Bartshealth NHS Trust, Royal London Hospital, London, UK.

Eva M Compérat (EM)

Department of Pathology, University of Vienna, Vienna, Austria.

Ian A Cree (IA)

International Agency for Research on Cancer, Lyon, France.

Anthony J Gill (AJ)

The University of Sydney, Camperdown, New South Wales, Australia.
NSW Health Pathology, Department of Anatomical Pathology, Royal North Shore Hospital, Pacific Highway, St Leonards, New South Wales, Australia.

Arndt Hartmann (A)

Institute of Pathology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.

Santosh Menon (S)

Department of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India.

Holger Moch (H)

Department of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland.

George J Netto (GJ)

Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA.

Maria R Raspollini (MR)

Histopathology and Molecular Diagnostics, University Hospital Careggi, Florence, Italy.

Mark A Rubin (MA)

Department for BioMedical Research, University of Bern, Bern, Switzerland.

Puay Hoon Tan (PH)

Division of Pathology, Singapore General Hospital, Singapore, Singapore.

Toyonori Tsuzuki (T)

Department of Surgical Pathology, Aichi Medical University Hospital, Nagakute, Japan.

Samra Turjalic (S)

Skin and Renal Units, Royal Marsden NHS Foundation Trust, London, UK.
Cancer Dynamics Laboratory, The Francis Crick Institute, London, UK.

Theo H van der Kwast (TH)

Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.

Ming Zhou (M)

Pathology and Laboratory Medicine, Tufts Medical Center, Boston, MA, USA.

John R Srigley (JR)

Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.

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