A new name for some forms of neoplastic prostate pathology?

The issue of whether to remove the “cancer” word from the diagnosis of at least some forms of prostate pathology that are not likely to lead to clinically significant disease over an extended period of time is not new.

Should all “cribriform” prostate cancers be classified as Gleason 4 disease?

In recommendations made in association with a newly published study of the pathologiocal implications of “cribriform” prostate cancer tumors, Dr. Scott Lucia and colleagues are suggesting that all such tumors should be classified as Gleason grade 4 by definition.

Does topography of cancer in the prostate correlate to risk for positive lymph nodes?

An interesting new report from the research team at Memorial Sloan-Kettering Cancer Center has explored the relationship between the patterns of occurrence of positive lymph nodes (LNs) and the topography of the cancer in the prostate and the seminal vesicles.

Pretreatment T level and post-surgical pathologic stage: a prognostic relationship?

A new study by a French research team has suggested that there may be a prognostic relationship between the pretreatment testosterone (T) level and the post-surgical pathology of men who undergo radical prostatectomy (RP) for treatment of localized prostate cancer.

Clinical implications of an initial diagnosis of ASAP

Relatively few data have been published on the pathological outcomes of patients initially diagnosed with atypical small acinar proliferation (ASAP), i.e., atypical glands suspicious but not diagnostic for prostate cancer, who are diagnosed with prostate cancer on re-biopsy and then treated by radical prostatectomy.

Active surveillance and pathological outcomes after RP

New data from a research group at the University of California provides insight regarding the immediate, relative, pathological outcomes of men undergoing radical prostatectomy (RP) after a period of active surveillance (AS) as compared to those of a similar risk group who received surgery within 6 months of their diagnosis.

Post-treatment pathology of the prostate after first-line HIFU

One of the unknown factors in the use of high-intensity focused ultrasound (HIFU) for the first-line treatment of prostate cancer is the potential for high-quality, biochemical recurrence-free survival over time. Post-treatment histopathology may offer some insight into the likelihood of good outcomes.

The risk posed by ductal carcinoma in patients with prostate cancer

A  paper from an Australian pathology group has suggested that, “Any proportion of ductal adenocarcinoma in radical prostatectomy specimens predicts extraprostatic extension.”

Pathology of prostate cancer in patients after active surveillance

With the increasing acceptance of active surveillance as a management strategy for men initially diagnosed with low-risk prostate cancer, it is increasingly important to have a detailed understanding of how these men fare over time, most particularly among those who have subequent progression that needs treatment.

Prostate cancer news reports: Friday, May 29, 2009

Today’s news reports address issues such as: Pro-PSA (a pecursor molecule to PSA itself) A review of development-stage markers for prostate cancer detection Understanding the pathology report A Phase I trial of high-dose testosterone in men with metatstatic CRPC

FRETting about how to classify cancers

FRET stands for “fluorescence resonance-energy transfer.” It’s a way to assess interactions between individual protein molecules, and allows researchers to find out how many receptors of specific types there are in a specific cancer specimen as well as how active those receptors are.

Tuesday’s news reports: March 24, 2009

Comment on an article on PSA velocity and prediction of biopsy outcomes has been provided separately. Today’s other news includes reports on: Pathological outcomes and criteria for active surveillance protocols Outcomes to permanent seed implant brachytherapy: age does not affect outcome Vacuum erectile devices and their value in post-prostatectomy erectile dysfunction Biochemical recurrence post-prostatectomy and [...]

The other Tuesday news: December 2, 2008

We have separately discussed the recent UK study on sexual activity, age, and prostate cancer risk as well as the results of a Spanish group on radical prostatectomy in patients with Gleason 8-10 at biopsy. In other news today …

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