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美国前列腺癌病理报告模板

2012-04-13 11:44 阅读(2322) 评论(1) 分类:专业

 本周我们跟着程亮老师,进行泌尿生殖系统的病理读片和签发报告,程亮老师也毫无保留地将他们的前列腺癌病理报告模板提供给我们学习。今天,我将前列腺癌根治性标本和穿刺报告模板贴出来,供国内同行分享。

Prostate, prostatectomy:

                Histologic type:                                   Adenocarcinoma

                Variant histology present:                signet ring-cell carcinoma  

 

                Gleason score (primary + secondary):         5+4 =9

                        Primary pattern (%):                    5, 50%

                        Secondary pattern (%):               4, 30%

                        Tertiary pattern (%):                     3, 20%

 

                Tumor quantitation:

                        Largest tumor focus:                  36 mm (greatest dimension)

                                Additional dimensions:      16 x12 mm

                                Location:                               Left posterior

                                Multifocality:                          Yes

                        Second largest focus:                9 mm (greatest dimension)

                                Location:                               Left anterior  

 

                Extraprostatic extension:                No

                        [if yes] Focal or non-focal:          N/A

                        [if yes] Location(s):                      N/A

                Seminal vesicle invasion: No

                        [if yes specify] Side:                     N/A

                Cancer at surgical margin:              No

                        [if yes] Location(s):                     N/A

                        [if yes] Quantification (total length):          N/A

                        [If no]  Closest distance with location:   < 1 mm, left posterior

                Incised specimen:                              No 

                Apex involvement:                              No 

                Bladder neck involvement:              No

                Lymph-vascular invasion:                No

                Perineural invasion:                           No

                Treatment effect on carcinoma:    No

                Other histologic findings: High-grade prostatic intraepithelial neoplasia

                Lymph nodes submitted:                  Yes

                        # positive/# submitted [if yes]    0/8

                 

                Ancillary studies:                                No

 

                Pathologic stage (2010)                   pT2c pN0 pM – not applicable

 

 

Prostate, biopsy:

                Prostatic adenocarcinoma, Gleason score 4 +5 = 9.

% of areas involved by cancer:                 90%

Number of cores examined:                     4

Number of cores positive for cancer:      4

Percentage of Gleason pattern 4:            85%

Percentage of Gleason pattern 5:            3%

High-grade prostatic intraepithelial neoplasia (PIN):  Positive

Perineural invasion:                                    Positive

 

 

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