Prostate Weight

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Regular Member

Date Joined Feb 2010
Total Posts : 40
   Posted 3/19/2010 7:39 PM (GMT -6)   
We received the hard copy of Harvey's post op path report today and it says his prostate weighed 72.1 grams. I am sure at the time of the biopsy in December it weighed 32 grams and we were told it was normal size. Has anyone ever heard of the prostate doubling in size. And the surgeon never said it was enlarged, in fact he said it came out easily. Something doesn't sound right. I am going to call to check on the weight at the time of biopsy on Monday. Comments? Thoughts?
Thank you.
Husband dx 12/09
Age 60
PSA 4.5
Biopsy 8/12 cores positive; 5% - 50%
Gleason 3+3
DaVinci at UNC 3/9/10
Gleason 3+4 with tertiary 5
% of prostate involved with tumor 20%
Not confined to prostate; surgical margins positive for carcinoma, left mid prostate
Perineural invasion extensive

Forum Moderator

Date Joined Jan 2010
Total Posts : 6846
   Posted 3/19/2010 10:23 PM (GMT -6)   
The weight from the biopsy would be an estimate (perhaps better said guestimate) based on size and density determined through some sort of CT or other scan. It could be no more than an estimate, as it was still firmly housed. The weight of the removed prostate at final pathology might include attached tissues, seminal vesticles, etc., and is the weight of an object on a scale. You would have to know more about the path. laboratory's procedures.
I had no estimate of weight or size before surgery.

Veteran Member

Date Joined Jun 2008
Total Posts : 1804
   Posted 3/20/2010 6:00 AM (GMT -6)   
The weight of the prostate given at biopsy is an estimate based on the sonogram of the area. The weight given in the surgical path report is the true weight. When my husband had his biopsy, the urologist gave us some "pictures" from the sonogram with teeny-tiny print at the bottom estimated the weight of the gland. The surgical path report that we have did not state any weight but it did give dimensions of the various "parts."
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009 - 0.1, September 0.3, October back to 0.0, December 0.0, March 2010 0.0. Next PSA in 6 months. Thank you God!

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 3/20/2010 7:52 AM (GMT -6)   
As they have said, the biopsy weight is an estimate, made by viewing the ultrasound image. In my case, mine was 72 gms. at biopsy, but 110 gms. actual weight when physically weighted at surgery.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
Gonna Make Myself A Better Man:
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN

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