Morphological and quantitative analyses of intraductal dysplasia of the prostate.

Anal Cell Pathol

Institute of Morbid Anatomy and Histopathology, University of Ancona, Italy.

Published: September 1990

AI Article Synopsis

  • The study aimed to quantitatively analyze the cellular characteristics of intraductal dysplasia (ID), distinguishing between two grades, and comparing them to benign prostatic hyperplasia (BPH) and adenocarcinoma (AC).
  • Key findings included a consistent increase in mean nuclear area and nuclear-cytoplasmic (N/C) ratio from BPH to ID to AC, with mean cellular area showing varied values across the conditions.
  • Additionally, ID demonstrated higher stratification features compared to BPH but lower in AC, indicating that certain nuclear features can help differentiate between BPH, ID grades, and AC effectively.

Article Abstract

The aim of our study was to characterize quantitatively the cellular and architectural features of intraductal dysplasia (ID) (subdivided into two grades), in comparison with benign prostatic hyperplasia (BPH) and adenocarcinoma (AC). The research was carried out on histological sections where the mean nuclear and cellular area, the mean nuclear cytoplasmic (N/C) ratio and parameters related to nuclear crowding and stratification were evaluated. The mean nuclear area and the mean N/C ratio steadily increased from BPH to ID and to AC. As for the mean cellular area, the values decreased from BPH to ID grade 1: in the two grades of ID the values remained about the same; in the AC, the mean cellular area was intermediate between ID and PBH. The mean crowding index showed increase in ID grade I, in comparison with BPH, and then a decline from ID grade 2 to AC. The stratification related features (mean epithelial height, mean nuclear stratification height, stratification index) showed ID values greater than in BPH, while in AC smaller than in BPH; in ID grades 1 and 2 the values were similar. The results clearly indicate that mean nuclear area helps to discriminate BPH and AC. A partial separation between the two grades of ID is possible by combining the mean nuclear area and the mean nuclear crowding index in a bivariate analysis.

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