Prospective Evaluation of Intraprostatic Inflammation and Focal Atrophy as a Predictor of Risk of High-Grade Prostate Cancer and Recurrence after Prostatectomy

Abstract

We are evaluating, in two nested case-control studies, intraprostatic inflammation and focal atrophy, a prostate lesion that is often inflamed, as tissue markers for risk of future diagnosis of total and high-grade prostate cancer, and for prognosis at the time of surgery for clinically localized prostate cancer. For prostate cancer incidence, in Year 3, we completed the statistical analysis of the pathology review of inflammation and focal atrophy the H and E stained biopsy core images for the linked PCPT-SELECT data (incident prostate cancer). We found that the odds of low-grade prostate cancer tended to increase with the number of biopsy cores with inflammation. For prostate cancer recurrence, we used an optimized higher-throughput method for image analysis to evaluate in the Brady nested case-control recurrence set the association between mast cell density and recurrence risk. We found that greater mast cell density in tumor was inversely associated with recurrence, while greater density in normal tissue was positively associated with recurrence. We received a 1- year Extension without Funds (end date 6/30/2016) to be able to complete all tasks for our promising work.

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Document Details

Document Type
Technical Report
Publication Date
Aug 01, 2015
Accession Number
AD1013488

Entities

People

  • Elizabeth A Platz

Organizations

  • Johns Hopkins University

Tags

DTIC Thesaurus Topics

  • Anatomy
  • Biological Sciences
  • Biological Staining And Labeling
  • Biomedical Research
  • Department Of Defense
  • Digital Images
  • Diseases And Disorders
  • Electronic Mail
  • Images
  • Inflammation
  • Mast Cells
  • Neoplasms
  • Pathology
  • Prostate
  • Prostate Cancer
  • Statistical Analysis
  • Tissues

Fields of Study

  • Medicine

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