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We evaluated the clinicopathological features and prognosis of 29 cases of prostate ductalcarcinoma was considered to be an aggressive subtype of prostate acinar carcinoma. Weselected 29 cases who were diagnosed prostate ductal carcinoma and had a radicalprostatectomy (RP). The acinar group (n = 116) was selected among 3,980 patients whounderwent a prostatectomy. The acinar group was matched to the ductal group forprostate specific antigen (PSA), clinical stage, Gleason score, and age. The mean (range) ofthe follow-up periods for the ductal and acinar group was 23.8 ± 20.6 and 58 ± 10.5months, respectively. The mean age of the prostate ductal and acinar carcinoma patientswas 67.3 and 67.0 yr and the mean PSA level was 14.7 and 16.2 ng/mL, respectively. Nostatistical differences were evident between groups in terms of the final pathologic stageor positive resection margin rate other than the postoperative Gleason score. A greaterproportion of the ductal group demonstrated a postoperative Gleason score ≥ 8 incomparison with the acinar group (P = 0.024). Additionally, we observed significantprognostic difference in our patient series in biochemical recurrence. The ductal groupshowed a poorer prognosis than the acinar group (P = 0.016). There were no differencessignificantly in terms of final pathology and rate of positive resection margin, but a greaterproportion of the ductal group demonstrated a Gleason score ≥ 8 than the acinar groupafter matching for PSA, Gleason score in biopsy and clinical stage. The ductal group alsoshowed a poorer prognosis.

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