Mixed Small Cell Neuroendocrine Carcinoma and Conventional Acinar Adenocarcinoma of the Prostate: A Case Report

IF 0.1 Q4 PATHOLOGY AJSP: reviews & reports Pub Date : 2020-05-01 DOI:10.1097/PCR.0000000000000382
Fernanda Cordeiro-Rudnisky, Yubo Wu, Yue Sun
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Abstract

Abstract Prostate cancer with neuroendocrine (NE) differentiation can be classified into six categories: conventional adenocarcinoma with NE differentiation, adenocarcinoma with Paneth cell–like NE differentiation, carcinoid tumor, small cell carcinoma, large cell carcinoma, and mixed NE carcinoma-acinar adenocarcinoma. Mixed NE carcinoma-acinar carcinoma is a biphasic carcinoma characterized by the presence of NE (small or large cell) carcinoma and conventional acinar adenocarcinoma. In rare cases, these two components overlap without discrete classic small cell carcinoma or a usual prostate adenocarcinoma component, making it particularly difficult to determine whether these overlapping cases should be diagnosed as small cell carcinoma or adenocarcinoma with a high Gleason score. Here, we present the case of a 74-year-old man who was diagnosed with mixed small cell NE carcinoma and conventional acinar adenocarcinoma of the prostate.
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前列腺混合小细胞神经内分泌癌与传统腺泡腺癌1例报告
摘要神经内分泌分化前列腺癌可分为NE分化的常规腺癌、Paneth细胞样NE分化腺癌、类癌、小细胞癌、大细胞癌、NE癌-腺泡混合型腺癌6类。混合NE癌-腺泡癌是一种双相癌,以NE(小细胞或大细胞)癌和常规腺泡癌为特征。在罕见的病例中,这两种成分重叠,没有独立的典型小细胞癌或通常的前列腺腺癌成分,这使得很难确定这些重叠的病例是否应该被诊断为小细胞癌或高Gleason评分的腺癌。在此,我们报告一位74岁男性的病例,他被诊断为混合的小细胞癌和传统的前列腺腺泡腺癌。
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