Histopathological grading and dna ploidy as prognostic markers in metastatic prostatic cancer


Histopathological grading and dna ploidy as prognostic markers in metastatic prostatic cancer

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ABSTRACT The present study compares the prognostic potential of tumour grade and DNA ploidy status in patients with advanced-stage prostatic cancer. Two outcome groups were selected on the


basis of time to progression and survival after orchiectomy. A poor-outcome group consisted of 32 therapy-resistant patients who experienced disease progression during the first year after


orchiectomy and subsequently death due to prostatic cancer during the following year. A good-outcome group consisted of 27 therapy-responsive patients who showed disease regression and no


signs of progression during a 3 year follow-up. The primary tumours were graded twice according to WHO and Gleason classification systems by two pathologists. Final agreement between the


pathologists was obtained after a consensus meeting. The analysis revealed no prognostic importance of the two histological classification systems (P = 0.62 and P = 0.70) and disclosed weak


inter- and intra-observer reproducibility (kappa < 0.70). DNA ploidy analyses were performed by image cytometry on formalin-fixed, paraffin-embedded samples of the primary tumours.


Overall, 48% of the tumours were diploid, 20% tetraploid and 32% anueploid. DNA ploidy status did not discriminate between the two outcome groups (P = 0.46). Histological grade and DNA


ploidy showed no prognostic importance in patients with prostatic cancer and skeletal metastases. Access through your institution Buy or subscribe This is a preview of subscription content,


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Open access 27 December 2021 AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Pathology, Norwegian Radium Hospital, Oslo T Jørgensen Authors * T Jørgensen View author publications


You can also search for this author inPubMed Google Scholar * K Yogesan View author publications You can also search for this author inPubMed Google Scholar * F Skjørten View author


publications You can also search for this author inPubMed Google Scholar * A Berner View author publications You can also search for this author inPubMed Google Scholar * KJ Tveter View


author publications You can also search for this author inPubMed Google Scholar * HE Danielsen View author publications You can also search for this author inPubMed Google Scholar RIGHTS AND


PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Jørgensen, T., Yogesan, K., Skjørten, F. _et al._ Histopathological grading and DNA ploidy as prognostic markers in


metastatic prostatic cancer. _Br J Cancer_ 71, 1055–1060 (1995). https://doi.org/10.1038/bjc.1995.203 Download citation * Issue Date: 01 May 1995 * DOI: https://doi.org/10.1038/bjc.1995.203


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