Cribriform Lesions of the Prostate Gland

Surg Pathol Clin. 2022 Dec;15(4):591-608. doi: 10.1016/j.path.2022.07.001. Epub 2022 Oct 13.


"Cribriform lesions of the prostate represent an important and often diagnostically challenging spectrum of prostate pathology. These lesions range from normal anatomical variation, benign proliferative lesions, premalignant, suspicious to frankly malignant and biologically aggressive entities. The concept of cribriform prostate adenocarcinoma (CrP4) and intraductal carcinoma of the prostate (IDC-P), in particular, has evolved significantly in recent years with a growing body of evidence suggesting that the presence of these morphologies is important for clinical decision-making in prostate cancer management. Therefore, accurate recognition and reporting of CrP4 and IDC-P architecture are especially important. This review discusses a contemporary diagnostic approach to cribriform lesions of the prostate with a focus on their key morphologic features, differential diagnosis, underlying molecular alterations, clinical significance, and reporting recommendations."

Keywords: Atypical intraductal proliferation; Central zone gland; Clear cell cribriform hyperplasia; Cribriform; Ductal adenocarcinoma; High-grade prostatic intraepithelial neoplasia; Intraductal carcinoma; Prostate adenocarcinoma.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Male
  • Precancerous Conditions* / pathology
  • Prostate / pathology
  • Prostatic Intraepithelial Neoplasia* / pathology
  • Prostatic Neoplasms* / diagnosis
  • Prostatic Neoplasms* / pathology