In this report, we describe the distribution of metastases from 14 patients
who had hormone-refractory adenocarcinoma of the prostate and agreed while
alive to undergo directed autopsies after their deaths. These autopsies we
re undertaken specifically to document the distribution of metastases, char
acterize tumors phenotypically and immunohistochemically, harvest fresh and
snap frozen tumor and normal control tissues suitable for molecular examin
ation, and establish cell lines via passages through generations of severe
combined immunodeficient and athymic mice, Achievement of these goals was o
btained through the development of a multidisciplinary team approach, Team
members included a medical oncologist, pathologists, urologists, and resear
chers. The autopsy and tissue procurement teams were available on a round-t
he-clock basis, The tissues harvested from these autopsies yielded high-qua
lity tumor samples, as evidenced by excellent preservation seen by light mi
croscopy, strong prostate-specific antigen immunostaining, and the successf
ul development of xenografts, The development and expansion of this program
represent a valuable resource for molecular and clinical researchers.