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Needle Biopsy Surgical Pathology Report 7/30/2009
Source of Specimen: 1. Right Prostate
2. Left Prostate BX
Pre-Op Diagnosis: Elevated PSA
Post-Op Diagnosis: None Given
Operative Procedure: Right and Left Prostate Biopsy
1. Right Prostate Biopsy:
Benign Prostate Tissue showing Adenomatous Hypertrophy.
2. Left Prostate Biopsy:
Prostatic Adenocarcinoma, Gleason score 5, involving approximately 25%
of the submitted specimen. Also seen are numerous areas of high grade PIN and
a focus of perineural invasion.
1. Sections of the specimen show benign fragments of prostate tissue with adenomatous hyperplasia.
No evidence of carcinoma is identified.
2. Sections of the specimen show fragments of prostate tissue with a dysplastic glandular proliferation
corresponding to Gleason patterns 2,3, score 5, involving approximately 25% of the submitted specimen.
Also identified are mumerous areas of high grade PIN and perineural invasion.
ROBOTIC SURGERY 9/30/2009
SURGICAL PATHOLOGY REPORT DIAGNOSIS:
PROSTATE AND SEMINAL VESICLES (RADICAL PROSTATECTOMY):
Histologic Type: Prostatic adenocarcinoma.
Histologic Grade: Gleason Grade 3+4=7
Laterality: Bilateral, involving approximately 35% of left prostate and less than 5% of right prostate.
Margins: Focal involvement of peripheral surgical margin measuring 3mm in greatest dimension.
Extraprostatic Extension: Focally present.
Seminal Vesicle Invasion: Not identified.
Perineural Invasion: Present.
Angiolymphatic Invasion: Not identified.
Lymph Nodes: Not identified.
Stage (AJCC, 2002): pT3A, NX,MX.
Eight week follow-up: 12/01/2009
PSA 0.15 Requested another PSA in hopes of a false reading.
12/15/2009 PSA 0.12 Dr. suggested to see a Radiation Oncologist
12/18/2009 Saw urologist for referral
12/28/2009 Consultation with Radiation Oncologist ordered PET/CT scan to be done 1/7/2010 in Abilene, Tx.