Hello Again I recently had RP surgery and this is my path report:
A. PROCEDURE: RADICAL PROSTATECTOMY AND PELVIC LYMPH NODE DISSECTION. Run: 07/28/22 1231 LIS Specimen Inquiry Run User: INTERFACE DIAGNOSIS (Continued) B. PROSTATE WEIGHT: 53 GRAMS. C. HISTOLOGIC TYPE: ACINAR ADENOCARCINOMA. D. HISTOLOGIC GRADE: GRADE GROUP 3 (GLEASON SCORE 4+3=7). i. MINOR TERTIARY PATTERN: 5 (< 5%). E. INTRADUCTAL CARCINOMA (IDC): NOT IDENTIFIED. F. CRIBRIFORM GLANDS: PRESENT. G. TREATMENT EFFECT: NO KNOWN PRESURGICAL THERAPY. H. TUMOR QUANTIFICATION: 51-60% (ESTIMATED PERCENTAGE OF PROSTATE INVOLVED BY TUMOR). I. GREATEST DIMENSION OF DOMINANT NODULE: 1.3 CM, PRESENT ON THE LEFT SIDE. J. EXTRAPROSTATIC EXTENSION (EPE): PRESENT, FOCAL. K. URINARY BLADDER NECK INVASION: NOT IDENTIFIED. L. SEMINAL VESICLE INVASION: NOT IDENTIFIED. M. LYMPHOVASCULAR INVASION: ABSENT. N. PERINEURAL INVASION: PRESENT. O. MARGIN STATUS: INVASIVE CARCINOMA PRESENT AT MARGIN. i. MAXIMUM LINEAR LENGTH OF MARGIN INVOLVED (2 MM), MULTIFOCAL, INVOLVING THE LEFT POSTEROLATERAL IN THREE FOCI, EACH OF WHICH MEASURES 2 MM, GLEASON PATTERN PRESENT AT MARGIN, GLEASON GRADE PATTERN 4. P. NUMBER OF LYMPH NODES EXAMINED: FIVE LYMPH NODES, NO EVIDENCE OF METASTATIC CARCINOMA AS CONFIRMED BY NEGATIVE IMMUNOHISTOCHEMICAL STAINS FOR CYTOKERATIN AE1/AE3 (THREE LYMPH NODES WITHIN THE RIGHT PELVIC DISSECTION NEGATIVE FOR METASTATIC CARCINOMA; TWO LYMPH NODES WITHIN THE LEFT PELVIC LYMPH NODE DISSECTION, NEGATIVE FOR METASTATIC CARCINOMA) (0/5). Q. DISTANT METASTASIS: NOT APPLICABLE. R. PATHOLOGIC STAGE CLASSIFICATION (AJCC 8TH EDITION STAGING): pT3a pN0.
My psa at surgery was 9.3.
I meet with the surgeon next week, any advice would be greatly appreciated.
A. PROCEDURE: RADICAL PROSTATECTOMY AND PELVIC LYMPH NODE DISSECTION. Run: 07/28/22 1231 LIS Specimen Inquiry Run User: INTERFACE DIAGNOSIS (Continued) B. PROSTATE WEIGHT: 53 GRAMS. C. HISTOLOGIC TYPE: ACINAR ADENOCARCINOMA. D. HISTOLOGIC GRADE: GRADE GROUP 3 (GLEASON SCORE 4+3=7). i. MINOR TERTIARY PATTERN: 5 (< 5%). E. INTRADUCTAL CARCINOMA (IDC): NOT IDENTIFIED. F. CRIBRIFORM GLANDS: PRESENT. G. TREATMENT EFFECT: NO KNOWN PRESURGICAL THERAPY. H. TUMOR QUANTIFICATION: 51-60% (ESTIMATED PERCENTAGE OF PROSTATE INVOLVED BY TUMOR). I. GREATEST DIMENSION OF DOMINANT NODULE: 1.3 CM, PRESENT ON THE LEFT SIDE. J. EXTRAPROSTATIC EXTENSION (EPE): PRESENT, FOCAL. K. URINARY BLADDER NECK INVASION: NOT IDENTIFIED. L. SEMINAL VESICLE INVASION: NOT IDENTIFIED. M. LYMPHOVASCULAR INVASION: ABSENT. N. PERINEURAL INVASION: PRESENT. O. MARGIN STATUS: INVASIVE CARCINOMA PRESENT AT MARGIN. i. MAXIMUM LINEAR LENGTH OF MARGIN INVOLVED (2 MM), MULTIFOCAL, INVOLVING THE LEFT POSTEROLATERAL IN THREE FOCI, EACH OF WHICH MEASURES 2 MM, GLEASON PATTERN PRESENT AT MARGIN, GLEASON GRADE PATTERN 4. P. NUMBER OF LYMPH NODES EXAMINED: FIVE LYMPH NODES, NO EVIDENCE OF METASTATIC CARCINOMA AS CONFIRMED BY NEGATIVE IMMUNOHISTOCHEMICAL STAINS FOR CYTOKERATIN AE1/AE3 (THREE LYMPH NODES WITHIN THE RIGHT PELVIC DISSECTION NEGATIVE FOR METASTATIC CARCINOMA; TWO LYMPH NODES WITHIN THE LEFT PELVIC LYMPH NODE DISSECTION, NEGATIVE FOR METASTATIC CARCINOMA) (0/5). Q. DISTANT METASTASIS: NOT APPLICABLE. R. PATHOLOGIC STAGE CLASSIFICATION (AJCC 8TH EDITION STAGING): pT3a pN0.
My psa at surgery was 9.3.
I meet with the surgeon next week, any advice would be greatly appreciated.
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