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Misleading PSA and PSMA Test Results

Prostate Cancer | Last Active: 9 hours ago | Replies (7)

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@jeffmarc
Hi Jeff
“Was there Seminal vesicle invasion, Extracapsular extensions or extra prosthetic extensions? “
No to the above.
A. Lymph Node, RIGHT PELVIC LYMPH NODE-
Pelvic Cavity:
Two lymph nodes negative for malignancy.
(0/2).
B. Lymph Node, LEFT PELVIC LYMPH NODE-
Pelvic Cavity:
Two lymph nodes negative for malignancy.
(0/2).
C. Prostate, PROSTATE AND SEMINAL
VESICLES:
Prostatic adenocarcinoma, acinar-type, Gleason
score 3+4 =7
Grade group 2
The bladder neck margin is negative.
The tumor involves the apical margin, consists
of Gleason pattern 4, and spans a length of 1.7
cm.
The tumor involves 20% of the prostate gland
tissue.
Gleason pattern 4 is approximately 15% of the
specimen.
Perineural invasion is present.
pT2pN0

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Replies to "@jeffmarc Hi Jeff “Was there Seminal vesicle invasion, Extracapsular extensions or extra prosthetic extensions? “ No..."

@df0403
this actually looks pretty good. Only one, 3+4, surprising to see that the tumor is 20% of Prostate gland. That’s pretty large.

I’m a little puzzled about the pT2p Since T2 is only a, b or c.

You see perineural invasion in almost every biopsy. Mine had it my brothers had it so many people that have had posted them have it.

“The tumor involves the apical margin”. This meant it went to the edge but maybe not beyond it. Did you ask the doctor whether or not that actually means the margins are not clear? In that case, they would say ECE and some situations to imply it was outside.