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Table 1 Clinicopathologic features of metastatic small cell carcinoma of the prostate to the liver

From: Clinicopathologic features of metastatic small cell carcinoma of the prostate to the liver: a series of four cases

 

PATIENT 1

PATIENT 2

PATIENT 3

PATIENT 4

Description of Cases

 Age at SCNECP Diagnosis (years)

74

68

74

76

 CPAC Gleason Grade

3 + 4 = 7

4 + 5 = 9

3 + 4 = 7

4 + 5 = 9

 PSA Level (ng/mL) at CPAC Diagnosis

5.81

50

5.6

68.9

 Average Interval Between CPAC and SCNECP (months)

144

12

168

84

 Liver Biopsy Site

NOS

Right hepatic lobe

NOS

Right hepatic lobe

 Average PSA Level (ng/mL) at SCNECP Diagnosis (ref: 0–4)

5.1

0.31

5.12

8.77

 Average CEA Level (ng/mL) at SCNECP Diagnosis (ref: 0–4.7 ng/mL)

52.3

4.8

N/A

28.2

 Average CA19–9 Level (U/mL) at SCNECP Diagnosis (ref: 0–35 U/mL)

18

1048

N/A

N/A

 ADT

Yes

Yes

Yes

Yes

 Radiation

Yes

Yes

Yes

Yes

 Chemotherapy

Yes

Yes

No

Yes

 Radical Prostatectomy

Yes

No

Yes

No

 Sites of SCNECP Metastasis

Liver, rectum, various LN

Liver, retroperitoneal LN

Liver, adrenal, retroperitoneal LN, bone

Liver and bone

 Average Interval Between SCNECP and Death (months)

26

2

0.75

4.5

Pathologic Findings

 Synaptophysin

+

+

+

+

 Chromogranin

+

+

+

+

 AE1/AE3

+

+

+

+

 Ki-67

>  90%

>  90%

80–90%

70–80%

 NKX3.1

Focal +

 TTF-1

+

+

 PSA

N/A

N/A

 PAP

N/A

N/A

+

 ERG

+ (weak)*

  1. SCNECP small cell neuroendocrine carcinoma of the prostate, CPAC conventional prostate adenocarcinoma, PSA prostate specific antigen, NOS not otherwise specified, CEA carcinoembryoninc antigen, CA19–9 carbohydrate antigen 19–9, ADT androgen deprivation therapy, PAP prostatic acid phosphatase, ERG ETS-related gene
  2. *This case was sent out for molecular analysis and the TMPRSS2-ERG gene fusion was identified