Lab Prostate Biopsy March 7, 2013

Unusual Symptoms

Lab Prostate Biopsy March 6, 2013

FINAL PATHOLOGIC DIAGNOSIS
A. Prostate, right apex, needle core biopsy: Benign prostatic tissue.
B. Prostate, right mid gland, needle core biopsy: Benign prostatic tissue.
C. Prostate, right base, needle core biopsy:
- 1. High-grade prostatic intraepithelial neoplasia.
- 2. Rare atypical glands, non-diagnostic.
D. Prostate, right anterior, needle core biopsy: Benign prostatic tissue.
E. Prostate, left apex, needle core biopsy: Benign prostatic tissue.
F. Prostate, left mid gland, needle core biopsy: Benign prostatic tissue.
G. Prostate, left base, needle core biopsy: Benign prostatic tissue.
H. Prostate, left anterior, needle core biopsy: Benign prostatic tissue.

Dr. has reviewed the case (part G) and concurs with the diagnosis.

Specimen(s) Received
A: Prostate, needle biopsy - right apex
B: Prostate, needle biopsy - right mid
Apostate, needle biopsy - right base
D: Prostate, needle biopsy - right anterior
E: Prostate, needle biopsy - left apex
F: Prostate, needle biopsy - left mid
G: Prostate, needle biopsy - left base
Hypostatical, needle biopsy - left anterior

Clinical History

Relevant History: elevated PSA
Submitting Diagnosis: IDE-9-CM:790.93:Elevated prostate specific antigen (PSA)

The patient is a 71-year man with history of elevated prostate-specific antigeddn. He now undergoes prostate biopsies.

Gross Description

The specimen is received in formalin in eight parts, each labeled with the patient's name and medical record number.

Part A, labeled "R. apex," consists of two 0.1 cm-thick cores of soft, tan-white tissue. The two cores each have a length of 2 cm and 1.8 cm. The specimen is entirely submitted in cassette A1. (rsm)

Part B, labeled "R. mid," consists of three 0.1 cm-thick cores of soft, tan-white tissue. The three cores each have a length of 2 cm, 1.2 cm and 1 cm. The specimen is entirely submitted in cassette B1 (rsm)

Part C, labeled "R. base," consists of two 0.1 cm-thick cores of soft, tan-white tissue. The two cores each have a length of 2.2 cm and 2 cm. The specimen is entirely submitted in cassette C1 (rsm)

Part D, labeled "R. anterior," consists of one 0.1 cm-thick core of soft, tan-white tissue. The one core has a length of 1.6 cm. The specimen is entirely submitted in cassette D1.

Part E, labeled "L. apex," consists of two 0.1 cm-thick cores of soft, tan-white tissue. The two cores each have a length of 1.2 cm and 1.1 cm. The specimen is entirely submitted in cassette E1. (rsm)

Part F, labeled "L. mid," consists of two 0.1 cm-thick cores of soft, tan-white tissue. The two cores each have a length of 2.2 cm and 1.8 cm. The specimen is entirely submitted in cassette F1. (rsm)

Part G, labeled "L. base," consists of two 0.1 cm-thick cores of soft, tan-white tissue. The two cores each have a length of 2.2 cm and 1.6 cm. The specimen is entirely submitted in cassette G1. (rsm)

Part H, labeled "L. anterior," consists of one 0.1 cm-thick core of soft, tan-white tissue. The one core has a length of 1.4 cm. The specimen is entirely submitted cassette H1. (rsm)

Diagnosis based on gross and microscopic examinations. Final diagnosis made by attending pathologist following review of all pathology slides. The attending pathologist has reviewed all dictations and preliminary interpretations performed by any resident involved in the case and performed all necessary edits before signing the final report.

Doctor's File Notes	History	Lab Test Results
Medication	Symptoms	Table of Contents

Unusual Symptoms

Lab Prostate Biopsy March 6, 2013

FINAL PATHOLOGIC DIAGNOSIS

Clinical History

Gross Description