Pathology slides w/photos-weblink including PCa's (18 variants) & Bladder and other organ pathology

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Date Joined Dec 2008
Total Posts : 3149
   Posted 3/8/2009 3:37 PM (GMT -6)   
Check this out to comprehend the difficulty for the expert pathologists to figure out what particular type of PCa you may have, among these 18 variants types. Also within this link you can click on bladder cancers, and other organs and see there variant types/names and accompanying slides for pathology.
 Added after original post:  most of us patients will be found with 'normal PCa' versions which are called  acini or acinar (that is the better news), some inof found here stating such.


Post Edited (zufus) : 3/9/2009 3:23:17 PM (GMT-6)

Regular Member

Date Joined Dec 2008
Total Posts : 194
   Posted 3/8/2009 7:14 PM (GMT -6)   
Thanks zufus. I am in awe and have found a new respect for these medical professionals.
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa, but stable
10-23-08 PSA 5.65 4% free psa
11-04-08 biopsy
11-11-08 2 of 12 cores positive
Gleason 3+3  6  stage t1c / post-op 3+4  7  stage t2c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Catheter removed 1-15-09
Pathology Report says it's gone!
First Post-op PSA 2-17-09   0.00

Tony Crispino
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Date Joined Dec 2006
Total Posts : 8128
   Posted 3/8/2009 11:34 PM (GMT -6)   
I looked this over earlier today and it's a great post. But it does not go into grading at all. 18 types, but no differentiating pictures. Also missing are sarcoma's.

This is a good post however, it gives the idea why pathologies should be reviewed a second time. In addition, it also shows why biopsies are ambiguous in their use. The use of color doplar and other imagine techniques have almost no chance of telling what kind of cancer with certainty you are dealing with. And even these shots do not determine how a cancer will behave with or without treatment.

You said it before...crazy disease.

Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
My Journal is at Tony's Blog  

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 3/9/2009 8:30 AM (GMT -6)   
Thanks Tony, scans cannot tell us which types as far as I know, imagine a newer pathologists trying to figure out what types? Hey I need to update this to mention that these variants are the more unusual presentations of patients with PCa's. Herein a link to the type most of us will be found with:

Called: acini or acinar verision (most common )

Usually this is mentioned on pathology reports(acinar or whatever type), depending upon how detailed that is. Let me mention that pathology reports and info on them can be widely different or lacking compared to the 'experts' and the data they list and how they list it all. My brothers patho report is somewhat laughable in comparison to mine as to the total info given, but also he is diagnosed with 'indolent' version of PCa. I don't think it was mentioned as to which type he was found with, on his report.


Post Edited (zufus) : 3/9/2009 7:33:44 AM (GMT-6)

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