Morphologic Spectrum of Neuroendocrine Tumors of the Prostate: An Updated Review

Arch Pathol Lab Med. 2020 Mar;144(3):320-325. doi: 10.5858/arpa.2019-0434-RA. Epub 2019 Oct 23.

Abstract

Context.—: The incidence of neuroendocrine tumors of the prostate increases after hormonal therapy. Neuroendocrine tumors possess a broad spectrum of morphologic features and pose challenges in the pathologic diagnosis and clinical management of patients.

Objective.—: To present a brief updated summary of neuroendocrine tumors of the prostate with an overview of their histopathologic and immunohistochemical profiles and differential diagnoses.

Data sources.—: Literature review, personal experience in the daily practice of pathologic diagnosis, and laboratory research.

Conclusions.—: Our understanding of neuroendocrine tumors of the prostate classification and diagnosis continues to evolve. These advances benefit the risk stratification and management of prostate cancer.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / metabolism
  • Adenocarcinoma / therapy
  • Chromogranin A / biosynthesis
  • Diagnosis, Differential
  • Humans
  • Immunohistochemistry / methods
  • Male
  • Neuroendocrine Tumors / diagnosis*
  • Neuroendocrine Tumors / metabolism
  • Neuroendocrine Tumors / therapy
  • Prostate / metabolism
  • Prostate / pathology*
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / metabolism
  • Prostatic Neoplasms / therapy
  • Receptors, Androgen / biosynthesis
  • Synaptophysin / biosynthesis

Substances

  • Chromogranin A
  • Receptors, Androgen
  • Synaptophysin