[Premalignant and benign lesions in nodules of adenomatous hyperplasia].
OBJECTIVE
Currently, two premalignant lesions have been recognized: prostatic intraepithelial neoplasia (PIN) and atypical adenomatous hyperplasia (AAH). Due to the possible clinical implications of these lesions, we attempted to determine their incidence in specimens of benign prostatic hyperplasia (BPH), the most frequent pathology of the prostate.


METHODS
A pathological and immunohistochemical study using several markers was performed to detect premalignant lesions in 156 specimens obtained by adenomectomy and TUR from 1990 to 1992.


RESULTS
20 PIN and 8 AAH (20.6%) were found. There were other equivocal prostatic lesions, not only with respect to premalignant lesions but prostatic carcinoma as well.


CONCLUSIONS
Premalignant lesions within BPH nodules are frequent (20.6%). Furthermore, other lesions were also found that caused difficulty in making the differential diagnosis.
Miján Ortiz
J L
JL
Servicio de Urología, Hospital Universitario de Granada, España.
Fernández Rodríguez
A
A
Fernández Ruiz
P L
PL
de la Fuente Serrano
A
A
Nogales Fernández
F
F
Zuluaga Gómez
A
A
D006801:Humans; D008297:Male; D011230:Precancerous Conditions / Q000473:pathology*; D011470:Prostatic Hyperplasia / Q000473:pathology*; D019048:Prostatic Intraepithelial Neoplasia / Q000473:pathology*; D011471:Prostatic Neoplasms / Q000473:pathology*