Table 1. Morphological and IHC Features of IDC-P and HGPIN.
Histological features | IDC-P | HGPIN |
---|---|---|
Growth patterns | Usually solid and/or dense cribriform, and less often flat, loose cribriform, micropapillary, tufted | Micropapillary, tufted, loose cribriform and flat |
Size and contour of glands | Enlarged glands with irregular outlines and branching contours | Glands similar in size to adjacent benign glands with relatively smooth rounded contours |
Number of glands | ≥6 contiguous glands | Usually less than 6 contiguous glands |
Nuclear size | ≥6 times normal nuclear size | 2–3 times normal nuclear size |
Nuclear pleomorphism | Marked high-grade features | Low-grade features |
Mitotic activity | Prominent | Rare |
Comedonecrosis | Non-focal comedonecrosis | Very rare, focal (if present) |
ERG IHC | Positive in significant number of cases, both with and without invasive carcinoma | Rarely positive |
PTEN IHC | Frequent loss | No loss |
IDC-P, intraductal carcinoma of prostate; HGPIN, high grade prostatic intraepithelial neoplasm; IHC, immunohistochemistry.