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. Author manuscript; available in PMC: 2015 Sep 1.
Published in final edited form as: Prostate Cancer Prostatic Dis. 2015 May 5;18(3):264–269. doi: 10.1038/pcan.2015.19

Table 2.

Extent and Intensity of Intraprostatic Inflammation in Men without Clinical Indication for Biopsy and Negative for Prostate Cancer by Tertile of Serum PSA Concentration at Biopsy, Placebo Arm, Prostate Cancer Prevention Trial

Tertile of Serum PSA Concentration at Biopsy (ng/mL)

P-
Trend*
1 (>0 to ≤0.8) 2 (>0.8 to ≤1.5) 3 (>1.5 to <4.0)

Mean Median IQR** Mean Median IQR** Mean Median IQR**
N 77 71 76
Extent measured as the percentage of tissue area with total inflammation***
  Mean % 6.83 2(0–7.5) 9.19 5 (0.67–9.0) 15.09 9.5(2.5–24.5) < 0.0001
  Maximum % 9.99 3(0–10.0) 14.24 7(2.0–15.0) 20.80 13.0(5.0–32.5) < 0.0001
Extent measured using a consensus scoring system****
  Mean score for acute inflammation
    Intraepithelial 0.01 0(0-0) 0.04 0(0-0) 0.11 0(0-0) 0.06
    Luminal 0.03 0(0-0) 0.03 0(0-0) 0.13 0(0-0) 0.007
    Stromal 0.00 0(0-0) 0.05 0(0-0) 0.05 0(0-0) 0.2
  Maximum score for acute inflammation
    Intraepithelial 0.03 0(0-0) 0.07 0(0-0) 0.14 0(0-0) 0.06
    Luminal 0.05 0(0-0) 0.04 0(0-0) 0.21 0(0-0) 0.007
    Stromal 0.00 0(0-0) 0.10 0(0-0) 0.05 0(0-0) 0.2
  Mean score for chronic inflammation
    Intraepithelial 0.55 0(0–1) 0.71 0.5(0–1) 1.00 1(0–1.5) 0.002
    Luminal 0.04 0(0-0) 0.03 0(0-0) 0.08 0(0-0) 0.7
    Stromal 1.24 1(0–2) 1.40 1(0.5–2) 1.93 2(0.5–3) 0.001
  Maximum score for chronic inflammation
    Intraepithelial 0.84 0(0–1) 1.13 1(0–2) 1.38 1(0–2) 0.003
    Luminal 0.08 0(0-0) 0.06 0(0-0) 0.11 0(0-0) 0.7
    Stromal 1.70 1(0–3) 1.92 1(1–3) 2.50 2.5(1–4) 0.001
Intensity measured using a consensus scoring system****
  Mean score for acute inflammation
    Intraepithelial 0.01 0(0-0) 0.04 0(0-0) 0.13 0(0-0) 0.06
    Luminal 0.04 0(0-0) 0.03 0(0-0) 0.17 0(0-0) 0.007
    Stromal 0.00 0(0-0) 0.07 0(0-0) 0.05 0(0-0) 0.2
  Maximum score for acute inflammation
    Intraepithelial 0.03 0(0-0) 0.08 0(0-0) 0.18 0(0-0) 0.06
    Luminal 0.08 0(0-0) 0.04 0(0-0) 0.30 0(0-0) 0.007
    Stromal 0.00 0(0-0) 0.14 0(0-0) 0.07 0(0-0) 0.2
  Mean score for chronic inflammation
    Intraepithelial 0.87 0(0–1) 1.03 0.5(0–1) 1.38 1(0–2) 0.006
    Luminal 0.04 0(0-0) 0.04 0(0-0) 0.09 0(0-0) 0.6
    Stromal 2.05 1(0–3.5) 2.18 1.5(0.5–3) 2.98 2.75(1–4.25) 0.002
  Maximum score for chronic inflammation
    Intraepithelial 1.39 0(0–2) 1.65 1(0–2) 1.95 1(0–3) 0.009
    Luminal 0.08 0(0-0) 0.07 0(0-0) 0.12 0(0-0) 0.7
    Stromal 2.87 1(0–6) 3.11 2(1–5) 3.97 4(1–6) 0.003
*

Cuzick test for trend

**

25 to 75th percentile

***

For each man, a mean of 3 biopsy cores was reviewed, one or more of which were mounted per slide. The mean or maximum of each man’s slides was used in the analysis. Possible range is 0 to 100%.

****

Using a slight modification of the method described by Nickel et al.16 Possible scores for extent: 0=none, 1=mild (<10% of tissue area involved by inflammatory cells), 2=multifocal (≥10% but <50%), 3=diffuse (≥50%). Possible range for extent is 0 to 3. Possible scores for grade: 1=mild, 2=moderate, and 3=severe. Possible range for intensity is 0 to 9.