Table V.
Authors’ Personal Approach to Diagnosis of and Grading IDC-P.
Scenarios | Include IDC-P in Gleason score? | Perform IHC for basal cell stain? |
---|---|---|
Isolated IDC-P | No | Yes |
IDC-P with PCa (GS = 6) | No | Yes |
IDC-P with PCa (GS ≥ 7) | Yes | No, even if the result might affect the Grade Group |
The presence of IDC-P should always be reported with a comment on its prognostic significance, particularly in the first two scenarios.
GS, Gleason score; IDC-P, intraductal carcinoma of the prostate; PCa, prostatic adenocarcinoma; IHC, immunohistochemistry