Comparative study between prostatic carcinoma G1-G3 and Gleason grading systems

Vol. 45 No. Cumulative Issue 1999-2004, 2004

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

B. Zaharia, I. E. Plesea, S. D. Enache, P. Tomescu, A. Panus, O. T. Pop, P. Badea, A. Kozokic

The need of an accurate and prognostic valuable method for grading the prostatic carcinoma resulted in the last decades, a large number of systems none of the succeeding in being unanimously accepted by the pathologist's family. The authors selected and reassessed using Gleason system a group of 221 cases with prostatic adenocarcinoma previously diagnosed using a combined G1-G3 system. The results were converted from Gleason system to G1-G3 system, and then compared with the initial diagnostics. The group was divided, following the type of surgical procedure used for drawing the tissue, into three groups: transvesical prostatectomies (TVP), transurethral resections (TUR) and needle biopsies (B). The concordance between the two systems was good, even the number of TUR and B specimens was significant (85% of the studied group) showing that any of them can be successfully used in current practice, depending only on pathologist's experience.

Corresponding author: Iancu Emil Plesea, MD, PhD, e-mail: emp@umfcv.ro, pathology@umfcv.ro

Download PDF
Download cover
Download contents

Journal archive