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<p><strong>Procedure:</strong> TRUS guided core biopsies.</p><p><strong>Histologic Type: </strong>Acinar adenocarcinoma.</p><p><strong>Site</strong>; left apex, left middle.</p><p><strong>Histologic Grade:</strong></p><ul><li>Gleason identified: 3+3.</li><li>Total Gleason Score: 6.</li><li>Grade Group (WHO 2016 / ISUP): 1.</li></ul><p><strong>Overall Percentage of Cores Involved by Tumor:</strong> 10%.</p><p><strong>Perineural Invasion (PNI): </strong>Not identified<strong>. </strong></p><p><strong>Lymphovascular Invasion (LVI):</strong> Not identified.</p>
<p class="ql-align-justify">Lower urinary tract symptoms and urinary retention, with a hard prostate on digital rectal examination, an elevated Total Prostate Specific Antigen of 26.8 ng/ml, free PSA 2.82 ng/ml.</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; TRUS guided core biopsies:</u></strong></p><ul><li><strong>Two cores (No. 4 & 5) show adenocarcinoma, Gleason's score 6 (3+3). Grade group 1 (ISUP/WHO grading system for prostatic carcinoma).</strong></li><li><strong>Rest of cores show nodular adenofibromyomatous hyperplasia. </strong></li></ul>
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