Pathology Report

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Regular Member

Date Joined Oct 2007
Total Posts : 300
   Posted 10/26/2007 7:52 AM (GMT -6)   
I just received a copy of my pathology Report (actually it was faxed to my PCP)
Very confusing.  Shouldn't it include some kind of staging?
Right- Adenocarcinoma (Gleason 3+3) involving <5% of specimen
Left- Adenocarcinoma (Gleason 3+3) involving <5% of specimen
Anyone out there with similar Path report than can help?

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 10/26/2007 8:29 AM (GMT -6)   
Mine was similar and coded pT2c, which indicates the cancer is most likely contained within the gland.  Post op rating may or may not change.  Mine didn't.  I think it stays standard for the Gleason scale that we both had 3+3=6. 
Put another way, "if you gots to have it, you gots the bestes kind"
James C. 
Help support the forums so they can support you: 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7 06/05/07
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  Dry daytime, small leak if I don't wake up in time (@3 hrs.) at night.
10/15/07  ED- 25mg Viagra nightly-no joy 
11/15/07  1st PSA scheduled

Veteran Member

Date Joined Apr 2006
Total Posts : 818
   Posted 10/26/2007 9:55 AM (GMT -6)   
Hi Bootheel,

Ditto here. My Surgeon said it was caught very early so the prognosis for full recovery is optimum. Post surgical analysis of the prostate yielded same Gleason score, and PCa was contained. So you are very fortunate to have this early detection.

Good luck,

Diagnosed at age 60
PSA went from 2.2 to 3.8 in 14 months
2 of 14 cores positive at 10%
Gleason 6(3+3), negative DRE, neg. margins
DaVinci surgery on 02/23/06
Last PSA 08/26/07 @ 18 months "0"

Veteran Member

Date Joined Apr 2006
Total Posts : 1732
   Posted 10/26/2007 10:31 AM (GMT -6)   
Path (prostate) reports should include :

-Pathologists name and title
-date/time received
-tempreture of specimen-unusual to find on a report (weird but some do)
-prostate size (whole) with measurements
-number (maybe size) of sections and from what part, how they're coded for identification
-cancer found in each section identified by location including Gleason
-largest tumor size or...estimated overall tumor volume
-number of tumors
-nodes status
-margine status by area (apex, bladder neck..)
-seminal vesicle status and size of each specimen
-vas diff ... if available
-nerve status if available for examination

In otherwords, if it came out and is/was attached to the prostate, it should be identified at minimum and examined for status in detail where appropriate. What some pathologists send is a layperson copy to the Uro, which he sends to his patient. A more detailed copy should be in the patient chart and probably forwarded to the treating Urologist at a later date.

A second final pathology opinion is another good idea for those wanting one. Insurances may or may not pay. I'm guessing most will.

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