Pathology Report Interpretation

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Sharp18
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 4/7/2010 7:28 PM (GMT -6)   

Does anyone knows hot to interprent the following pathology report statement (after prostatectomy)?

 

"Estimated volume of tumor: 0.34 cc

Gleason score: 4+3; primary pattern 4, secondary pattern 3.

Estimated volume > Gleason pattern 3:  90%."

 

If the dominant patern is 3, why Gleason score is 4+3 (but not 3+4)?


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 662
   Posted 4/7/2010 7:38 PM (GMT -6)   

Ill give you this much. It is a unique way of saying things. My take (not a physician,) is:

The statement of confusion (estimated volume> Gleason Pattern 3: 90%) I interpret that statement as saying that the estimated volume of all cancer in your prostate indicated that 90% was 3 or greater. Does that make any since?

Hero


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. involving up to 75%
da Vinci at Wash U, Barnes on 11/02/09
Modified Pathology, Gleason 4 + 3 = 7. Gleason 7 present throughout Prostate.  Negative surgical margins
4 of 4 periprostatic Lymph Nodes Negative, 10 of 10 pelvic Lymph Nodes Negative. Seminal Vesicles tumor free. No prostate extension
Post-op PSA 12/10/2009, Undetectable
12/12/2009, Pad Free and Started jogging.

Post Edited (Herophilus) : 4/7/2010 7:42:20 PM (GMT-6)


logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 5815
   Posted 4/7/2010 11:55 PM (GMT -6)   
It says estimated greater than glson 3 is 90% hence 10% 3,, 90% 4.
age 66 First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
9% of prostate affected. gleason 3+4, I suppose thats a negative
After reading pathology myself, gleason was 3+4 with tertiary 5, 2-3 foci That is a negative, but I am a positive !!
Ed an issue but keeping the blood flowing with the osbon pump
8 week psa 0,o

" Hypocrisy is vice's homage to Virtue " read it in Bartlet's book of quotation years ago stuck with me, can't remember who said it.


logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 5815
   Posted 4/7/2010 11:55 PM (GMT -6)   
It says estimated volume greater than glson 3 is 90% hence 10% 3,, 90% 4.
age 66 First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
9% of prostate affected. gleason 3+4, I suppose thats a negative
After reading pathology myself, gleason was 3+4 with tertiary 5, 2-3 foci That is a negative, but I am a positive !!
Ed an issue but keeping the blood flowing with the osbon pump
8 week psa 0,o

" Hypocrisy is vice's homage to Virtue " read it in Bartlet's book of quotation years ago stuck with me, can't remember who said it.

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