| Consultation Note |
| CLINICAL DETAILS | |||||
| Surgical procedure | Radical prostatectomy | ||||
| Clinical information | PCa G6 - prostate and seminal vesicles - left and right pelvic nodes - pre-prostatic fat - left apical margin - left lateral margin | ||||
| Units | |||||
| Pre-biopsy serum PSA | 5.9 | ug/L | |||
| Relevant clinical information for clinicopathological staging | Core biopsy Gleason score: 3+3=6 | ||||
| Pathology accession number | 89470-15MP | ||||
| Principal clinician | Dr Smith | ||||
| MACROSCOPIC FINDINGS | |||||
| Specimen weight | 60 | g | |||
| Specimen dimensions (prostate) | |||||
| Length | 51 | mm | |||
| Width | 47 | mm | |||
| Thickness | 42 | mm | |||
| Seminal vesicles | Present | ||||
| Lymph nodes | Present | ||||
| Laterality | Bilateral | ||||
| Site(s) and numbers of lymph nodes | |||||
| Site | Left pelvic | ||||
| Number of LNs from this site | 1 | ||||
| Site 2 | Right pelvic | ||||
| Number of LNs from this site | 1 | ||||
| Additional macroscopic comments | Volume: 0.6cm3 (3D volume estimate method) | ||||
| MICROSCOPIC FINDINGS | |||||
| Histological tumour type | Adenocarcinoma (Acinar, usual type) | ||||
| Tumour location | |||||
| Locations by quadrant | |||||
| Right anterior | Yes | ||||
| Right posterior | Yes | ||||
| Left anterior | Yes | ||||
| Left posterior | Yes | ||||
| Locations by plane | |||||
| Apex | No | ||||
| Mid | No | ||||
| Base of prostate | No | ||||
| Histological tumour grade | |||||
| Primary Gleason grade | 3 | ||||
| Secondary Gleason grade | 4 | ||||
| Tertiary Gleason grade not applicable | No | ||||
| 3+4=7 Composite Gleason Score (ISUP) 2005): 3+4=7 Index carcinoma score (ISUP 2005): 3+4=7 % High Grade (4/5): 5%. Intraduct carcinoma: Absent. | |||||
| Extent | Focal | ||||
| Location(s) of EPE | |||||
| Lateral | No | ||||
| Postero-lateral | No | ||||
| Posterior | No | ||||
| Anterior | No | ||||
| Bladder neck | No | ||||
| Apical | No | ||||
| Other | No | ||||
| Margin status | Not involved | ||||
| Seminal vesicles | Not involved | ||||
| Lymph node status | |||||
| Number of lymph nodes examined | 1 | ||||
| Number of positive lymph nodes | 0 | ||||
| Lymphovascular invasion | Not identified | ||||
| SYNTHESIS AND OVERVIEW | |||||
| Pathological staging (AJCC 7th Ed) | |||||
| Primary tumour (T) | T2 Organ Confined | ||||
| Year and edition of staging system | |||||
| Year | AJCC 2005 | ||||
| Edition | 7th Ed | ||||
| 1. Radical prostatectomy: Prostatic adenocarcinoma 2. Left pelvic lymph node: Fibradipose tissue only 3. Right pelvic lymph node: No evidence of malignancy 4. Periprostatic tissue: No evidence of malignancy 5. Left apical margin: No evidence of mailgnancy 6. Left lateral margin: No evidence of malignancy | |||||