Mucinous adenocarcinoma of the prostate: Histochemical and immunohistochemical studies

Jae Y. Ro, David J. Grignon, Alberto G. Ayala, Pedro L. Fernandez, Nelson G. Ordonez, Kenneth I. Wishnow

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82 Scopus citations

Abstract

Twelve patients with primary mucinous adenocarcinoma of the prostate were included in a clinicopathologic study; criteria included a total tumor volume more than 25% mucinous and single or clustered tumor cells floating in mucin lakes. Patient ages were 57 to 81 years; tumor stages were C (three), D (five), and unknown (four). Bone was the most frequent metastatic site (usually osteoblastic), followed by lumph nodes and lungs. Serum levels of prostatic acid phosphatase and prostate-specific antigen were frequently elevated (five of 10 and three of three measured, respectively). All mucinous adenocarcinomas also contained other histologic patterns: microglandular (four), cribriform (three), comedo (two), solid (two), and hypernephroid (one). Mucinous components composed less than 50% of three tumors, 50% and 75% of six, and more than 75% of three. No tumor contained signet-ring cells. Immunoperoxidase staining was positive for prostatic acid phosphatase and prostate-specific antigen and negative for carcinoembryonic antigen. Treatment was radiation, estrogen, orchiectomy, or a combination. In two of four patients, serum prostatic acid phosphatase levels normalized after therapy. Seven patients died of disease (mean follow-up, 56 months), and five patients are alive with disease (mean, 32.2 months). The proportion of mucinous component did not affect prognosis.

Original languageEnglish (US)
Pages (from-to)593-600
Number of pages8
JournalHuman pathology
Volume21
Issue number6
DOIs
StatePublished - Jun 1990

Keywords

  • mucin lakes
  • mucinous adenocarcinoma
  • prostate
  • prostate-specific antigen
  • prostatic acid phosphatase

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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  • Cite this

    Ro, J. Y., Grignon, D. J., Ayala, A. G., Fernandez, P. L., Ordonez, N. G., & Wishnow, K. I. (1990). Mucinous adenocarcinoma of the prostate: Histochemical and immunohistochemical studies. Human pathology, 21(6), 593-600. https://doi.org/10.1016/S0046-8177(96)90004-0