WSI23-41-Case-1
84 year old male with bladder outlet obstruction, TURP
High grade prosttic adenocrcinoma, gleason score 5 of 5 with neuroendocrine differentiation
April 1, 2023 12:00:00 PM
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Clinical history
84 year old male with bladder outlet obstruction, TURP
Diagnosis
High grade prosttic adenocrcinoma, gleason score 5 of 5 with neuroendocrine differentiation
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WSI23-41
Sequence | Case | Clinical history | Diagnosis |
---|---|---|---|
1 | WSI23-41-Case-1 WSI23-41-Case-1 | 84 year old male with bladder outlet obstruction, TURP 84 year old male with bladder outlet obstruction, TURP | High grade prosttic adenocrcinoma, gleason score 5 of 5 with neuroendocrine differentiation High grade prosttic adenocrcinoma, gleason score 5 of 5 with neuroendocrine differentiation |
2 | WSI23-41-Case-2 WSI23-41-Case-2 | 71 year old male with history of prostate cancer s/p prostatectomy and radiation in 2010, now with S2 spinal lesion 71 year old male with history of prostate cancer s/p prostatectomy and radiation in 2010, now with S2 spinal lesion | Metastatic prostatic adenocarcinoma Metastatic prostatic adenocarcinoma |
3 | WSI23-41-Case-3 WSI23-41-Case-3 | 61 year old with prostate cancer 61 year old with prostate cancer | Adenocarcinoma, gleason score 3+3=6/10, bilateral perineural invasion, neg margins, neg SV and vas def Adenocarcinoma, gleason score 3+3=6/10, bilateral perineural invasion, neg margins, neg SV and vas def |
4 | WSI23-41-Case-4 WSI23-41-Case-4 | 86 year old male with hard nodular prostate and PSA 175 86 year old male with hard nodular prostate and PSA 175 | Prostatic adenocarcinoma, gleason score 5+4=9/10, involving >90% each of 2/2 cores. + PNI tumor invades skeletal muscle and adipose tissue. Sheet-like growth & foamy cell and signet ring-like changes Prostatic adenocarcinoma, gleason score 5+4=9/10, involving >90% each of 2/2 cores. + PNI tumor invades skeletal muscle and adipose tissue. Sheet-like growth & foamy cell and signet ring-like changes |
5 | WSI23-41-Case-5 WSI23-41-Case-5 | 62 year old man with radical prostatectomy revealing 3+3=6/10 cancer. Here is a separate finding. 62 year old man with radical prostatectomy revealing 3+3=6/10 cancer. Here is a separate finding. | Senile amyloid of bilateral seminal vesicles Senile amyloid of bilateral seminal vesicles |
6 | WSI23-41-Case-6 WSI23-41-Case-6 | 58 year old male with elevated PSA. 58 year old male with elevated PSA. | Prostatic adenocarcinoma 3+4=7/10 with mucinous differentiation +PNI Prostatic adenocarcinoma 3+4=7/10 with mucinous differentiation +PNI |
7 | WSI23-41-Case-7 WSI23-41-Case-7 | 65 year old male with ↑ PSA with negative biopsy in 2011, now for TURP 2° to urinary retention symptoms PSA in 2011, 5 ng/mL; post biopsy 10 ng/ml 65 year old male with ↑ PSA with negative biopsy in 2011, now for TURP 2° to urinary retention symptoms PSA in 2011, 5 ng/mL; post biopsy 10 ng/ml | Prostatic adenocarcinoma, gleason score 4+5=9/10 with perineural invasion, infiltrating skeletal muscle Prostatic adenocarcinoma, gleason score 4+5=9/10 with perineural invasion, infiltrating skeletal muscle |
8 | WSI23-41-Case-8 WSI23-41-Case-8 | 60 year old male with prostate cancer 60 year old male with prostate cancer | A. Grade 5 prostate carcinoma with PNI in bladder neck. B. 5+4 with EPE, PN1, LVI A. Grade 5 prostate carcinoma with PNI in bladder neck. B. 5+4 with EPE, PN1, LVI |
9 | WSI23-41-Case-9 WSI23-41-Case-9 | 80 year old male with history of BPH s/p TURP 2008; 2009 with palp nodule on right lateral prostate 80 year old male with history of BPH s/p TURP 2008; 2009 with palp nodule on right lateral prostate | Prostate adenocarcinoma 4+4 with focal ductal-type features Prostate adenocarcinoma 4+4 with focal ductal-type features |
10 | WSI23-41-Case-10 WSI23-41-Case-10 | 57 year old man with urinary outlet obstruction and mildly elevated PSA, 4.88 (11/08) over prior 3.69 (5/08) 57 year old man with urinary outlet obstruction and mildly elevated PSA, 4.88 (11/08) over prior 3.69 (5/08) | Adenocarcinoma, ductal type, gleason score 4+4=8/10. Adenocarcinoma, ductal type, gleason score 4+4=8/10. |
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