Pathology Report Interpretation

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Sharp18
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 4/7/2010 8:28 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 : 664
   Posted 4/7/2010 8:38 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 : 6084
   Posted 4/8/2010 12:55 AM (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 : 6084
   Posted 4/8/2010 12:55 AM (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.

New Topic Post Reply Printable Version
Forum Information
Currently it is Monday, September 24, 2018 11:00 AM (GMT -6)
There are a total of 3,006,056 posts in 329,296 threads.
View Active Threads


Who's Online
This forum has 161821 registered members. Please welcome our newest member, chanze55.
293 Guest(s), 11 Registered Member(s) are currently online.  Details
borrelioburgdorferii, Kent M., Vdang2k, Artist Mark, oceanfisher58, Rikky1, Redwing57, gumby44, chanze55, Leah2013, halbert