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Specimen:
Tweive prostatic needle biopsies as follows:
-Bilateral upper, middle and lower lateral and medial.
History:
PSA: 5.7 ng/ml, free PSA: 0.9 ng/ml. free PSA/PSA (ratio): 0.16%.
GROSS:
The specimen is received in formalin in 12 separate containers and consists of multiple
Elongated fragments of soft and whitish tissue, measuring upto 1.2 cm in length and less than 0.1 cm in thickness,as follws:
۱. “rt. Upper lateral” : One core, 0.3 cm Aiso a0.1 cm brownish tissue partice. The
Specimen is s ubmitted in toto in one block.
۲. “Rt. Middle lateral”: One core, 1.1 cm, submitted in one block (#2).
۳. “Rt. Lower lateral”: Two cores, 0.3 cm each, submitted in toto in one block (#3).
۴. “Rt. Upper medial”: One core, 1.2 cm, submitted in one block (#4).
۵. “Rt.meddle medial”: One core, 1 cm, submitted in one block (#5).
۶. “Rt. Lower medial”: One core, 1.1 cm, submitted in one block (#6).
۷. “LT. UPPER LATERAL”: One core, 1 cm, submitted in one block (#7).
۸. “Lt. middle lateral”: One core, 1.2 cm, submitted in one block (#8).
۹. “Lt. lower lateral”: One core, 1.1 cm, submitted in one block (#9).
۱۰. “Lt. upper medial”: One core, 1.2 cm, submitted in one block (#10).
۱۱. “Lt. middle medial”: One core, 1.2 cm, submitted in one block (#11).
۱۲. “Lt. lower medial”: One core, 1 cm, submitted in one block (#12).

MICRO:
Sections show infiltration of prostate by acinar adenocarcinoma as follows:
۱. Rt. Upper lateral: Gleason’s grade (3+3), 0.3 cm ln length on slide sections.
۲. Rt. Middle lateral: Gleason’s grade (3+3), 0.3 cm ln length on slide sections.
۳. Rt. Lower lateral: Gleason’s grade (3+3), 0.4 cm ln length on slide sections.
۴. Rt. Upper medial: Gleason’s grade (3+4), 0.5 cm ln length on slide sections.
۶. Rt. Lower medial: Gleason’s grade (3+3), 0.1 cm ln length on slide sections.
۸. Lt. middle lateral: A cluster of atypical glands.
۱۰. Lt. upper medial: Combined Gleason’s grade (3+4), 1 cm in length on slide sections.
۱۲. Lt. lower medial: Gleason’s grade (3+3), 0.1 cm in length on slide sections.
Occasional perineural invasion is seen.

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DIAGNOSIS:
Twelve prostatic needle biopsies designated bilateral upper, middle and lower lateral and medial:
• Adenocarcinoma ofprostate, combined Gleason’s grade (3+4) 7. Involving right
Upper. Middle and lower lateral and upper and lower medial and left upper and
Lower medial and a small cluster of atypical glands in left middle lateral,
Corresponding to Grade 2 ranging between 0.1 and 1 cm in length on slide
Sections.
• Presence of perineural invasion.

ICD-O code: c61.9
M-8140/3

MRA/FK
۲.۷.۲۲

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