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<p><strong>Procedure:</strong> TURP.</p><p><strong>Histologic Type: </strong>Acinar adenocarcinoma</p><p><strong>Histologic Grade:</strong></p><ul><li>Primary Gleason Pattern: 4.</li><li>Secondary Gleason Pattern: 5.</li><li>Total Gleason Score: 9.</li><li>Grade Group (WHO 2016 / ISUP): 5.</li></ul><p><strong>Overall Percentage of Cores Involved by Tumor:</strong> 70%.</p><p><strong>Perineural Invasion (PNI): </strong>Present<strong>. </strong></p><p><strong>Lymphovascular Invasion (LVI):</strong> Not identified.</p>
<p>Elevated PSA = 99.</p>
<p class="ql-align-justify">Soft tissue fragments collectively measured 5.5x5x0.7 cm, totally embedded.</p>
<p><strong><em><u>Prostate, TURP: </u></em></strong></p><ul><li class="ql-align-justify"><strong>Acinar adenocarcinoma, Gleason score 9 (4+5), Grade Group 5. </strong></li></ul>
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