prostate cancer

[vicky362]

These are the results of my biopsy. pathology diagnosis prostate right needle core biopsy : adenocarcinoma of prostate, gleason pattern 3+3 (score=6) involving approximately 5% of the biopsy. Immunostain for keratin 903 (keratin34 beta-e12) supports the above diagnosis

PSA  is 6
prostate left needle core biopsy benign prostatic tissue. Immunostain foe keratin 903 (keratin34 beta-e12) supports the above diagnosis.  
  Microscopic description
Sections show an infiltrating neoplasm composed of single separate varying sized rounded glands ,occupying approximately 5% of the biopsy. Immunostains demonstrate the neoplastic glands showing the absence of basal cell layer.Internal control reveals strong staining of basal cell layer in benign prostatic acini.

Sections show slightly hyperplastic glands lined by tall columnar cells with no significant nuclear atypia. Immunohistochemistry with high molecular weight cytokeratin, highlighting the basal cell layer also demonstrate staining in the glands of concern, a feature consistent with benignity. controls are adequate.

[Ash Tewari, MD, M.Ch.]

Is there a related question to your pathology report?

AKT

[vicky362]

My husband 60 years old had a biopsy. His psa is 6 from 3.58 in 2004 to 5.47 in July 2010 to 5.92 in Aug 2010  to 6  Oct of this year .I would like to know if we should come see you .Do you think he would need surgery or other treatment with this surgical pathology report.He is having a bone scan and cat scan on the 17th of Nov.We have heard such good things about you. Also he has no symptoms and Urologist did not feel anything with exam.We thank you for your time. He also has Ankylosing Spondylitis takes Enbrel 50 mg shot every week. Is doing fine with that. Here is the report: Prostate, right needle core biopsy Adenocarcinoma of prostate Gleason pattern 3+3=6 involving approximately 5% of the biopsy. Immunostain for Keratin 903 Keratin 34 beta-E12 supports the above diagnosis.Prostate left needle core biopsy Benign prostatic tissue. Innunostain for Keratin 903 Keratin 34 beta E12 supports the above diagnosis.   Microscopic description: A. Sections show an infiltrating neoplasm composed of single seperate varying sized rounded glands, occupying approximately 5% of the biopsy. Immunostains demonstate the neoplastic glands showing the absence of basal cell layer. Internal control reveals strong staining of basal cell layer in benign prostatic acini.  B. Sections show slightly hyperplastic glands lined by tall columnar cells with no significant nuclear atypia. Immunohistochemistry with high monecular weight cytokeratin, highlighting the basal cell layer also demonstrates staining in theglands of concer, a feature consistent with benignity. Controls are adequate.  Gross description: The specimen is received in two parts. Part A is in fixative additionally labeled right prostate and consists of approximately seven fragmented strands of tannish white soft tissue.These strands measure from 0.3 cm up to 0.9 cm in length, and0.1 cm in diameter.  Part B is in fixative additionally labeled left prostate and consists of approximately five strands of tannish white soft tissue. These strands measure from 0.5 cm up to 1.3 cm in length and 0.1 cm in diameter.  And again thank you.