Inflammation: predictive factor for negative evolution of prostate diseases

Vol. 60 No. 1, 2019

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Adrian Silviu Crisan, Imola Miklos, Alin Ioan Grelus, Bogdan Dan Totolici, Carmen Neamtu, George Ciprian Pribac, Dragos Botezatu, Octavia Cornelia Vita, Ioan Ioiart

The most frequent prostate diseases depending on age are prostatitis in young men, benign prostate hypertrophy in men over 50 years old, and prostate cancer (PCa) in elderly patients. The purpose of our study is to evaluate the role of inflammation in the progression of prostate diseases. We used clinical and paraclinical techniques for the positive diagnosis [serum prostate-specific antigen (PSA) determination, we performed transrectal ultrasound to asses the prostate volume and prostate biopsy or transurethral resection of the prostate, where it was imposed]. The prostate tissue specimens were analyzed histopathologically and immunohistochemically. Our results show that PCa patients with higher inflammation rates had a higher Gleason score in both the castration-resistant prostate cancer (CRPC) group and the castration-sensitive group. We have noticed that patients with high inflammation grade also had a much higher International Prostate Symptom Score (IPSS). In conclusion, we can say that in our study, inflammation played an important role in the evolution of benign and malignant prostate diseases; its presence has influenced directly the severity of symptoms, and the aggressiveness of the diseases.

Corresponding author: Carmen Neamtu, Associate Professor, MD, PhD; e-mail: carmen.neamtu@gmail.com; Bogdan Dan Totolici, Professor, MD, PhD; e-mail: totolici_bogdan@yahoo.com

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