Original Articles

Impact of Cribriform Pattern on Progression-Free Survival After Radical Prostatectomy in Gleason Score 8-10 Prostate Cancer

Volume 57 · Issue 1 · January 2025 Publish Date: April 21, 2025
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Tyler Walburn ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Yetkin Tuaç ORCID
Department of Statistics, Ankara University Faculty of Science, Ankara, Türkiye
Çağdaş Aktan ORCID
Department of Medical Biology, Bandırma Onyedi Eylül University Faculty of Medicine, Balıkesir, Türkiye
Okan Argun ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Luke W. Chen ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
David D. Yang ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Shalini Moningi ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Jonathan E. Leeman ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Peter F. Orio ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Paul L. Nguyen ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Anthony V. D’Amico ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Mutlay Sayan ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Walburn, T., Tuaç, Y., Aktan, Çağdaş, Argun, O., Chen, L. W., Yang, D. D., … Sayan, M. (2025). Impact of Cribriform Pattern on Progression-Free Survival After Radical Prostatectomy in Gleason Score 8-10 Prostate Cancer. The Eurasian Journal of Medicine, 57(1), 1–5. https://doi.org/10.5152/eurasianjmed.2025.25804
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Abstract

Background: Although extensive research highlights the detrimental effect of cribriform pattern 4 (CP4) on survival in non-high-risk prostate cancer (PC), its prognostic significance in high-risk PC is not well understood.

Methods: The individual patient data from the The Cancer Genome Atlas (TCGA) database following radical prostatectomy was retrospectively examined. A predefined statistical analysis was conducted to evaluate the potential association between CP4 and progression-free survival (PFS).

Results: Of the 135 patients examined, CP4 was present in 66 (48.9%). Median follow-up was 45.93 months (interquartile range: 22.87, 80.10). Cribriform pattern 4 was associated with a significantly reduced PFS (subdistribution hazard ratio, 1.99; 95% CI, 1.01-3.92; P = .045) following adjustment for covariates.

Conclusions: The presence of CP4 in high-risk Gleason 8-10 PC portends worse PFS. Further studies are warranted to fully understand its implications in risk stratification and post-operative management of PC.

 

Cite this article as: Walburn T, Tuac Y, Aktan C, et al. Impact of cribriform pattern on progression-free survival after radical prostatectomy in gleason score 8-10 prostate cancer. Eurasian J Med. 2025; 57(1), 0804 doi: 10.5152/eurasianjmed.2025.25804.

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Article Info
Published In
Journal The Eurasian Journal of Medicine
Volume / Issue Volume 57 · Issue 1 · January 2025
Pages 1-5
History
Published Online April 21, 2025
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Affiliations
Tyler Walburn ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Yetkin Tuaç ORCID
Department of Statistics, Ankara University Faculty of Science, Ankara, Türkiye
Çağdaş Aktan ORCID
Department of Medical Biology, Bandırma Onyedi Eylül University Faculty of Medicine, Balıkesir, Türkiye
Okan Argun ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Luke W. Chen ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
David D. Yang ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Shalini Moningi ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Jonathan E. Leeman ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Peter F. Orio ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Paul L. Nguyen ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Anthony V. D’Amico ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Mutlay Sayan ORCID
Department of Radiation Oncology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Cite this Article
Walburn, T., Tuaç, Y., Aktan, Çağdaş, Argun, O., Chen, L. W., Yang, D. D., … Sayan, M. (2025). Impact of Cribriform Pattern on Progression-Free Survival After Radical Prostatectomy in Gleason Score 8-10 Prostate Cancer. The Eurasian Journal of Medicine, 57(1), 1–5. https://doi.org/10.5152/eurasianjmed.2025.25804
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