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Some of the salient aspects include: (1) recognition that prostatic intraepithelial neoplasia (PIN)\u2010like carcinoma is not synonymous with a pattern of ductal carcinoma, but better classified as a subtype of acinar adenocarcinoma; (2) a specific section on treatment\u2010related neuroendocrine prostatic carcinoma in view of the tight correlation between androgen deprivation therapy and the development of prostatic carcinoma with neuroendocrine morphology, and the emerging data on lineage plasticity; (3) a terminology change of basal cell carcinoma to \u201cadenoid cystic (basal cell) cell carcinoma\u201d given the presence of an underlying<jats:italic>MYB::NFIB<\/jats:italic>gene fusion in many cases; (4) discussion of the current issues in the grading of acinar adenocarcinoma and the prognostic significance of cribriform growth patterns; and (5) more detailed coverage of intraductal carcinoma of prostate (IDC\u2010P) reflecting our increased knowledge of this entity, while recommending the descriptive term atypical intraductal proliferation (AIP) for lesions falling short of IDC\u2010P but containing more atypia than typically seen in high\u2010grade prostatic intraepithelial neoplasia (HGPIN). Lesions previously regarded as cribriform patterns of HGPIN are now included in the AIP category. This review discusses these developments, summarising the existing literature, as well as the emerging morphological and molecular data that underpins the classification and prognostication of prostatic carcinoma.<\/jats:p>","DOI":"10.1111\/his.14711","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T10:19:26Z","timestamp":1656325166000},"page":"447-458","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["<scp>WHO<\/scp>Classification of Tumours fifth edition: evolving issues in the classification, diagnosis, and prognostication of prostate cancer"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8687-4988","authenticated-orcid":false,"given":"James G","family":"Kench","sequence":"first","affiliation":[{"name":"Department of Tissue Pathology and Diagnostic Oncology Royal Prince Alfred Hospital, NSW Health Pathology Camperdown New South Wales 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