The authors declare that they have no competing interests.
Article first published online: 26 MAR 2013
Copyright © 2013 Wiley Periodicals, Inc.
Volume 73, Issue 10, pages 1115–1122, July 2013
How to Cite
Eminaga, O., Hinkelammert, R., Abbas, M., Titze, U., Eltze, E., Bettendorf, O. and Semjonow, A. (2013), High-Grade Prostatic Intraepithelial Neoplasia (HGPIN) and topographical distribution in 1,374 prostatectomy specimens: Existence of HGPIN near prostate cancer. Prostate, 73: 1115–1122. doi: 10.1002/pros.22660
Authors' contributions: O.E. designed the retrospective study and performed the statistical analysis. E.E., M.A., O.B., U.T. performed the pathology examinations. A.S., E.E., M.A., O.B., O.E., R.H., U.T. acquired the clinical and morphometric data. A.S., R.H., O.E. reviewed the results of the analyses. O.E. drafted the manuscript. A.S., E.E., O.B. reviewed the manuscript. All of the authors read and approved the final manuscript.
- Issue published online: 30 MAY 2013
- Article first published online: 26 MAR 2013
- Manuscript Accepted: 13 FEB 2013
- Manuscript Received: 18 DEC 2012
- prostate cancer;
- topographical analysis;
- high-grade prostatic intraepithelial neoplasia;
- heat map;
- detection of HGPIN
High-grade prostatic intraepithelial neoplasia (HGPIN) is believed to be a precursor of prostate cancer (PCa). This study evaluated whether HGPIN was located close to PCa in whole radical prostatectomy specimens (RPSs).
MATERIALS AND METHODS
We evaluated 1,374 prostate specimens from 1999 to 2010 using a cMDX-based map model of the prostate. The distribution of 10,439 PCa foci was analyzed and visualized on a heat map. The color gradient of the heat map was reduced to six colors representing the frequency classification of the relative frequency of PCa using an image posterization effect. We defined 22 regions in the prostate according to the frequency of PCa occurrence. Seven hundred ninety RPSs containing 6,374 PCa foci and 4,502 HGPIN foci were evaluated. The topographical association between PCa and HGPIN in the RPSs was analyzed by estimating the frequencies of PCa and HGPIN in 22 regions. A logistic regression analysis was performed to assess the odds ratios of HGPIN for the presence of PCa in 22 regions.
Fifty-eight percent of PCa specimens included HGPIN and had significantly more favorable Gleason scores, lower PSA levels and smaller relative tumor volumes than isolated PCa specimens. HGPIN (68%) and PCa (69%) were predominantly localized to the apical half of the prostate. HGPIN was mainly concentrated in the peripheral zone medial to regions with high PCa frequencies. Upon logistic regression analysis, HGPIN was a significant predictor of PCa co-existence in 11 regions.
HGPIN was located adjacent to PCa in whole RPSs. PCa concomitant with HGPIN had more favorable pathologic features than isolated PCa. Prostate 73: 1115–1122, 2013. © 2013 Wiley Periodicals, Inc.