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<p>TUMOR SUMMARY (CASE LEVEL):</p><p>• Procedure: Systematic biopsy.</p><p>• Positive specimen(s) or zone(s): Right apex, Right middle, Left apex, and Left middle.</p><p>• Histologic type: Prostatic adenocarcinoma, acinar type.</p><p>• Histologic grade: Total Gleason score = 9.</p><p>- Primary pattern: 5.</p><p>- Secondary pattern: 4.</p><p>- Grade group: 5/5.</p><p>• Intraductal carcinoma (IDC): Present.</p><p>• Cribriform glands: Not applicable.</p><p>• Tumor quantitation:</p><p>- Total number of cores: 6. - Number of positive cores: 4/6.</p><p>- Greatest percentage of core involvement by cancer in any core: 12%.</p><p>• Perineural invasion: Present.</p><p>• Lymphovascular invasion: Not seen.</p><p class="ql-align-justify">• Periprostatic fat invasion: Not seen.</p><p class="ql-align-justify">• Seminal vesicle invasion: Not seen.</p><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p>
<p class="ql-align-justify">Lower urinary tract symptoms and urinary retention, characterized by a moderately enlarged and mildly hard prostate on digital rectal examination, an elevated Total Prostate Specific Antigen of 222 ng/ml, free PSA 15.3 ng/ml, and ultrasound findings of a 60 g enlarged prostate.</p>
<p class="ql-align-justify">Received in 6 containers, 1 from right apex, 2 right middle, 3 right base, 4 left apex, 5 left middle and #6 left base; tissue cores ranged from 1 to 1.2 cm long, submitted entirely.</p>
<p><strong><u>PROSTATE; RT & LT apex, RT & LT middle, and RT & LT base; CORE BIOPSIES:</u></strong></p><h3>PROSTATE; RT APEX, RT MIDDLE, LT APEX, AND LT MIDDLE; CORE BIOPSIES:</h3><h3>• PROSTATIC ADENOCARCINOMA, ACINAR TYPE, GRADE GROUP 5 (GLEASON</h3><h3>SCORE 5 + 4 = 9).</h3><h6><strong> </strong></h6><h3>PROSTATE; RT BASE AND LT BASE; CORE BIOPSIES:</h3><h3>• PROSTATIC NODULAR HYPERPLASIA.</h3>
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