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Prostatic Acinar Adenocarcinoma, Microcystic Variant

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Encyclopedia of Pathology

Definition

Microcystic acinar adenocarcinoma is a variant of acinar adenocarcinoma characterized by gland dilatation with intermediate-sized glands that are, on average, 10 times the size of usual small acinar adenocarcinoma glands (Humphrey 2018; Yaskiv et al. 2010).

Clinical Features

  • Incidence

    About 11% of usual acinar adenocarcinomas exhibit microcystic foci in radical prostatectomy cases.

  • Age

    Mainly among patients aged 60–70 years.

  • Sex

    Male.

  • Site

    Mainly peripheral zone of the prostate.

  • Treatment

    Similar to those of usual acinar adenocarcinoma.

  • Outcome

    Similar to those of usual acinar adenocarcinoma: the presence of microcystic features in prostatic adenocarcinoma is not likely to be of prognostic significance.

Macroscopy

Similar to those of usual acinar adenocarcinoma. There are no reported gross descriptions of microcystic pattern of adenocarcinoma.

Microscopy

The glands are on average 10 times the size of usual small acinar adenocarcinoma glands and typically show rounded...

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References and Further Reading

  • Humphrey, P. A. (2018). Variants of acinar adenocarcinoma of the prostate mimicking benign conditions. Modern Pathology, 31(S1), S64–S70.

    Article  Google Scholar 

  • Yaskiv, O., Cao, D., & Humphrey, P. A. (2010). Microcystic adenocarcinoma of the prostate: A variant of pseudohyperplastic and atrophic patterns. American Journal of Surgical Pathology, 34, 556–561.

    Article  Google Scholar 

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Correspondence to Rodolfo Montironi .

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Cimadamore, A., Raspollini, M.R., Montironi, R. (2019). Prostatic Acinar Adenocarcinoma, Microcystic Variant. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4904-1

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  • DOI: https://doi.org/10.1007/978-3-319-28845-1_4904-1

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  • Print ISBN: 978-3-319-28845-1

  • Online ISBN: 978-3-319-28845-1

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