Papillary carcinoma of prostatic ductal origin: a cytologic case report with immunohistochemical and quantitative DNA correlation

Prostatic duct adenocarcinoma: a cytologic and histologic case report with review of the literature

Prostatic duct adenocarcinoma is a rare tumor which typically involves the prostatic urethra as its primary site. Due to this unique location, prostatic duct adenocarcinoma may shed cells into urine specimens which may be detected by cytologic techniques. This report describes the cytologic and histologic features of a case of prostatic duct adenocarcinoma involving the prostatic urethra. Key features which differentiate this neoplasm from the more common transitional carcinomas and the potentially confounding prostatic acinar adenocarcinomas include epithelial clusters with prominent nuclear overlap and nuclear grooves. A comparison to the five previously reported cases is presented.

Diagnostic significance and possible pitfalls of nuclear grooves in extrathyroid cytology

The diagnostic significance of grooved nuclei in the cytology of extrathyroid lesions is not well-described in the literature. Isolated cases of metastatic adult granulosa cell tumor, reactive mesothelial hyperplasia, Langerhans' cell histiocytosis, recurrent renal cell carcinoma, and round cell liposarcoma were reviewed, and their cytologic features were discussed. While nuclear grooving can be present to a different extent in all these conditions, the significance of this feature in diagnostic cytology varies. The integration of clinical information, radiologic findings, different morphologic features, and immunohistochemistry is necessary before a final conclusion is reached.