By "clean and intact", I mean that they were not able to remove the prostate whole and there was concern by the doctors that they left Prostate tissue adhering to the wall of the rectum. Pathology reports reads: Right pelvic Lymph node- hyperplastic lymph node tissue - no tumor seen. Left pelvice lymp node; two hyperplastic partly replaced by fat lymph nodes - no tumor seen; Prostatic adenocarcinoma, Gleason score VII, predominately pattern IV, partly practice duct adenocarcinoa, areas of perineural invasion present. Tunor is present on both right and left sides of prostate is is extensively involvinig both right and left lateral inked edges of the specimen. Negative apical and basal margins of the specimen. Tumor does not show extraprostatic extension in secions examined. Neagive right and left seminal vesicles.
I don't know what TNM staging means, but the report says: pT2c, pNO, pMX
Prostate: Adenocarcinoma and Prosttic duct adenocarcinoa Specimens A-C
Primary Pattern Grade 4, Secondary Pattern Grade 3, Gleason Score 7
Tumor right and left lobe.
Proportion of prostate involved by Tumor = 30%
Margins involved by invasive carcinoma
Focaility of Margin involvement by Tumor = Multifocal
Location of Margin involvement by Tumor: Right lateral and Left lateral
Extent of Involvement: Extraprostatic Extension and Seminal Vesical Invasion- Not identified
Lymph Node Summary - Number Examined = 3
Numbe involved = 0
Perineural Invasion - present
Lymphatic/Vascular Invasion: not identified
Pathology Staging: Primary Tunor: pT2c
Regional lymph Nodes pNO
Weight of prostate 35 grams, 4.5x4x3.8 cm
Could you define "lean and intact." What was your husband's final pathology and TNM staging?