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PSA 7, Adcnocarcinoma of the prost:rte Gleason score 3+3
CLINICAL DIAGNOSIS: DRE – Normal prostate
NATURE OF SPECIMEN: Prostate biopsy
1l Left. slde: Specimen of 7 cores ranging in size from 1.5-1 cm. AII embed-A
2) Right side: Specimen of Tcores ranging in size from 2.5-1 cm. A11 embed-B
MICROSCOPIC DESCRIPTTON & IMPRESSION:
1 , ProstaLe, left side (core biopsy) : * Adenocarcinoma of prostate, acinar tlpe.
– Gleason score is 3+3 = 5, out of 10.
– Tumor invo1ves all cores, with an overal-1 average of 20%.
– Perineural invasion is present.
2 ,Prostate, right side (core biopsy) :
– Adenocarcinoma of prostate, acinar trce.
– Gleason score is 3+3 = 6, out of 10.
– Gleason score is 3 out of 7 cores, wlLh an owerall average of <10%;.
– Perineuraf invasion is present.
MRI PELVIS :Urinary bladder is normal in size and signal intensity. No focal mass lesion,/
calculi. Wall thickness is normal.
Prostate is mildly enlarged in size. Lateral aspect of the peripheral gland
on both the sides appear hyperintense on T1, turning hypointense on T2-
suggestive of bleed. Post contrast study demonstrates minimal
/ ,llowever, no extracapsular spreadr/seminal vesicle extension/neurovascular bundle involvement.
Solitary lymph node is seen adjacent to the external iliac artery on either
side. Largest on the right side, measuring 9.0×6.0rnm in size.
Seminal vesicles appear normal.
Pelvic bones and joints are normal.
No free fluid seen in the pelvis.
Spermatic cords show normal signal intensity.
No evidence of focal lesion.
Bilateral testis and epididymis are normal.
No evidence of hydrocoele.
IMPRESSION: KnownIMPRESSION: Known case of Ca prostate, post biopsy.
Present study shows:Haemorrhage in the lateral aspect of peripheral gland on both sides .
solitary lymh node adjacent to the external iliac artery on either side-? Metastatic .
No scinitigraphic evidence of skeletul metastases.
what treatment should I opt. Till now I have no symptoms . . when I went for regular medical check up before 60 days this result came out