Aggressive variant prostate cancer: A case report and literature review

Figure 5 The third biopsy of the prostate mass in February 2022. A: Prostate puncture of the left lobe, adenocarcinoma of the prostate. Gleason: 4 + 4 = 8. Immunohistochemical results: Prostate specific acid phosphatase (a few weak +), P63 (myoepithelial disappearance), α-Methylacyl CoA racemase (P504S) (partly + +), high molecular weight cytokeratin (myoepithelial disappearance), androgen receptor (+), neuro-specific enolase (-), neural cell adhesion molecule (CD56) (-), synaptophysin (-), Chromogranin A (individually +), tumor proliferation antigen (Ki67) (20% +); B: Prostate puncture of the right lobe.