Monday, March 3, 2014

Biopsy Pathology - Just the Facts Ma'am

For you geeks that understand the pathology of carcinomas, here are my numbers:

Prostatic Adenocarcinoma, Acinar Type
Gleason 8 (4+4)
Lymphovascular Invasion is present
Perineural Invasion is present

11/19/2011 - 1.45
4/1/2013 -     2.45
11/19/2013 - 4.91
1/31/2015 -   5.20

The MRI notes were:  Bi-RADS Category 4, suspicious.  Findings are suspicious for a fairly extensive tumor throughout the gland with extracapsular extension of the disease on the right. The tumor also abuts the right neurovascular bundle.

For those of you who aren't pathology geeks, this means it's large, aggressive, isn't confined to the gland and is right up against the nerves that control erectile function on one side.  You can also note the rise in PSA from the end of 2011-2014.

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