Ductal, intraductal, and cribriform carcinoma of the prostate : Molecular characteristics and clinical management

Copyright © 2024 Elsevier Inc. All rights reserved..

Prostatic acinar adenocarcinoma accounts for approximately 95% of prostate cancer (CaP) cases. The remaining 5% of histologic subtypes of CaP are known to be more aggressive and have recently garnered substantial attention. These histologic subtypes - namely, prostatic ductal adenocarcinoma (PDA), intraductal carcinoma of the prostate (IDC-P), and cribriform carcinoma of the prostate (CC-P) - typically exhibit distinct growth characteristics, genomic features, and unique oncologic outcomes. For example, PTEN mutations, which cause uncontrolled cell growth, are frequently present in IDC-P and CC-P. Germline mutations in homologous DNA recombination repair (HRR) genes (e.g., BRCA1, BRCA2, ATM, PALB2, and CHEK2) are discovered in 40% of patients with IDC-P, while only 9% of patients without ductal involvement had a germline mutation. CC-P is associated with deletions in common tumor suppressor genes, including PTEN, TP53, NKX3-1, MAP3K7, RB1, and CHD1. Evidence suggests abiraterone may be superior to docetaxel as a first-line treatment for patients with IDC-P. To address these and other critical pathological attributes, this review examines the molecular pathology, genetics, treatments, and oncologic outcomes associated with CC-P, PDA, and IDC-P with the objective of creating a comprehensive resource with a centralized repository of information on PDA, IDC-P, and CC-P.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Urologic oncology - 42(2024), 5 vom: 12. Apr., Seite 144-154

Sprache:

Englisch

Beteiligte Personen:

Shi, Yibo [VerfasserIn]
Wang, Hanzhang [VerfasserIn]
Golijanin, Borivoj [VerfasserIn]
Amin, Ali [VerfasserIn]
Lee, Joanne [VerfasserIn]
Sikov, Mark [VerfasserIn]
Hyams, Elias [VerfasserIn]
Pareek, Gyan [VerfasserIn]
Carneiro, Benedito A [VerfasserIn]
Mega, Anthony E [VerfasserIn]
Lagos, Galina G [VerfasserIn]
Wang, Lisha [VerfasserIn]
Wang, Zhiping [VerfasserIn]
Cheng, Liang [VerfasserIn]

Links:

Volltext

Themen:

Biomarker
Clinical management
Cribriform carcinoma
Intraductal carcinoma
Journal Article
Molecular pathology
Prostate cancer
Prostatic ductal adenocarcinoma
Review

Anmerkungen:

Date Completed 15.04.2024

Date Revised 15.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.urolonc.2024.01.037

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369753356