Post Robotic Prostate RemovaMy Husband'

My husband is 65 years old and had robotic prostate removal at MSK in Manhattan on 6/9. He is doing well. We received results and are going to see Nurse Practitioner tomorrow, his surgeon is away. From Original MRI: * Prostate size: 6.9 x 7.3 x 5.8 cm (History of Large Prostate)
* Prostate volume: 146 cc
* Membranous urethral length: 1.9 cm
* PI-RADS v2.1 Score: 5
* Size: 1.7 x 0.9 cm
* Location: Left, anterior and posterior, mid-gland to apex, peripheral zone
* Extracapsular extension: Probably present
* Seminal vesicle invasion: None.
* Adjacent organ invasion: None.
Lymph nodes looked clear etc.

High Decipher: 0.86 Gleason Score 3+4

After Surgery Results today: Final Diagnosis
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1. Pelvic lymph nodes; Right; Excision/Resection:
Benign lymph nodes
Number of lymph nodes examined: 11

2. Pelvic lymph nodes; Left; Excision/Resection:
Benign lymph nodes
Number of lymph nodes examined: 9

3. Periprostatic fat; Excision/Resection:
Benign fibroadipose tissue

4. Bladder neck; Posterior; Excision/Resection:
Benign fibromuscular tissue, no prostatic glands seen

5. Bladder neck; Anterior; Excision/Resection:
Benign fibromuscular tissue, no prostatic glands seen

6. Neurovascular bundle; Left; Excision/Resection:
Benign fibrovascular and adipose tissue and nerves, no prostatic glands seen

7. Prostate and Seminal Vesicles; Excision/Resection:
Prostatic adenocarcinoma, Grade group 2 (Gleason score 3+4=7), pT3aN0

Procedure: Radical prostatectomy

TUMOR

Histologic Type: Acinar adenocarcinoma, conventional (usual)

Histologic Grade:

Grade: Grade group 2 (Gleason Score 3 + 4 = 7)

Percentage of Pattern 4: 10 %

Intraductal Carcinoma (IDC): Not identified

Cribriform Glands: Not identified

Treatment Effect: No known presurgical therapy

TUMOR QUANTITATION:

Estimated Percentage of Prostate Involved by Tumor: 11 - 20%

Location of Dominant Nodule: Left anterior, apex to mid

Extraprostatic Extension (EPE): Present, nonfocal

Location of Extraprostatic Extension: Left anterior

Urinary Bladder Neck Invasion: Not identified

Seminal Vesicle Invasion: Not identified

Lymphatic and / or Vascular Invasion: Not Identified

Perineural Invasion: Present

MARGINS

Margin Status: Invasive carcinoma present at margin

Linear Length of Margin(s) Involved by Carcinoma: Less than 3 mm (limited)

Margin(s) Involved by Invasive Carcinoma: Left apical

Margin(s) Involved by Invasive Carcinoma: Left anterior

Margin Comment: Supported by CK-PAN immunostain

REGIONAL LYMPH NODES

Regional Lymph Node Status:

: All regional lymph nodes negative for tumor

Number of Lymph Nodes Examined: 20

pTNM CLASSIFICATION (AJCC 8th Edition)

Reporting of pT, pN, and (when applicable) pM categories is based on information available to the pathologist at the time the report is issued. As per the AJCC (Chapter 1, 8th Ed.) it is the managing physician's responsibility to establish the final pathologic stage based upon all pertinent information, including but potentially not limited to this pathology report.

pT Category: pT3a

pN Category: pN0

ADDITIONAL FINDINGS

Additional Findings: High-grade prostatic intraepithelial neoplasia (PIN)

Additional Findings: Nodular prostatic hyperplasia
Intraoperative Consultation
View trends
4. Bladder; posterior bladder neck
Benign fibromuscular tissue, no prostatic glands seen

Intraoperative consultation reported to, read back and acknowledged by Dr. Spaliviero on 06/09/26 at 10:35 AM by Sarah Chiang, MD.

Note: The diagnoses given in this section pertain only to the tissue sample examined at the time of the intraoperative consultation.

5. Bladder; anterior bladder neck
Benign fibromuscular tissue, no prostatic glands seen

Intraoperative consultation reported to, read back and acknowledged by Dr. Spaliviero on 06/09/26 at 10:36 AM by Sarah Chiang, MD.

Note: The diagnoses given in this section pertain only to the tissue sample examined at the time of the intraoperative consultation.

6. Pelvis; left neurovascular bundle
Benign fibrovascular tissue, no prostatic glands seen

Intraoperative consultation reported to, read back and acknowledged by Dr. Spaliviero on 06/09/26 at 11:55 AM by Sarah Chiang, MD.

Note: The diagnoses given in this section pertain only to the tissue sample examined at the time of the intraoperative consultation.

Gross Description
View trends
1. Pelvis; right pelvic lymph nodes
The specimen is received fresh, labeled "Right pelvic lymph nodes", and consists of a portion of yellow lobulated adipose tissue measuring 6.0 x 3.0 x 1.5 cm which is dissected to reveal 9 tan-pink, fatty lymph nodes, ranging from 0.5 to 2.4 cm in greatest dimension. The specimen is entirely submitted.

Summary of sections:
LN – whole lymph nodes (7 nodes)
BLN – bisected lymph node
TLN – trisected lymph node
RT – remaining tissue

Allison Michelle Owens, PA

2. Pelvis; left pelvic lymph nodes
The specimen is received fresh, labeled "Left pelvic lymph nodes", and consists of a portion of yellow lobulated adipose tissue measuring 6.0 x 4.5 x 1.0 cm which is dissected to reveal 7 tan-pink, fatty lymph nodes, ranging from 0.4 to 5.0 cm in greatest dimension. The specimen is entirely submitted.

Summary of sections:
LN – whole lymph nodes (4 nodes)
BLN – bisected lymph node
SLN - sectioned lymph node
RT – remaining tissue