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J Clin Pathol 60:856-865 doi:10.1136/jcp.2006.043224
  • My approach

My approach to intraductal lesions of the prostate gland

Table 3

 The spectrum of lesions with a cribriform appearance

Lesion Basal cells Cytonuclear features Distension of duct Outline of duct
H-PIN, high-grade prostatic intraepithelial neoplasm.
Hyperplasia Present Bland None or slight Smooth
H-PIN Present Nucleoli None or slight Smooth
Intraductal carcinoma Present Nucleoli Distended Smooth
Grade 3 adenocarcinoma Absent Nucleoli Slight Smooth
Grade 4 adenocarcinoma Absent Nucleoli Distended Irregular, or outpouchings
Ductal adenocarcinoma Absent, rare Nucleoli, tall columnar cells Distended Often smooth

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