Table 2.
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.