Definition
Relatively well-circumscribed collection of closely packed glands, typically observed in the verumontanum and adjacent posterior urethra (Gaudin et al. 1995).
Clinical Features
Incidence
Rare. Usually an incidental finding in radical prostatectomy specimens in patients with prostate cancer or benign prostatic hyperplasia. It can also be seen in needle biopsies and TURP specimens.
Age
Usually in the age of prostate cancer or benign prostatic hyperplasia.
Sex
Male.
Site
Verumontanum. It is located in the posterior aspect of the prostatic urethra where the utricle and the ejaculatory ducts empty into the urethra.
Treatment
Not required.
Outcome
Benign.
Microscopy
It is characterized by a microacinar proliferation of uniform, well-circumscribed, closely packed, rounded glands that usually contain lamellated eosinophilic secretions (intraluminal corpora amylacea) and unique orange-red concretions that are commonly fragmented. A basal cell layer is identifiable (Gaudin et al. 1995...
References and Further Reading
Gaudin, P. B., Wheeler, T. M., & Epstein, J. I. (1995). Verumontanum mucosal gland hyperplasia in prostatic needle biopsy specimens: A mimic of low grade prostatic adenocarcinoma. American Journal of Clinical Pathology, 104, 620–626.
Srigley, J. R. (2004). Benign mimickers of prostatic adenocarcinoma. Modern Pathology, 17(3), 328–348.
Young, R. H. (1995). Tumor-like lesions of the prostate gland. American Journal of Clinical Pathology, 104(6), 607–610.
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Cimadamore, A., Mazzucchelli, R., Montironi, R. (2019). Verumontanum Mucosal Gland Hyperplasia. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4996-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4996-1
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