Prostate

Specimen:
Prostate, radical prostatectomy
Prostate, robot-assisted radical prostatectomy

Tumor:
Prostatic adenocarcinoma
Other:

Gleason score:
Gleason Score 12345+12345
Prior hormonal therapy, not Gleason-graded

Tertiary pattern

Maximal tumor nodule diameter measured on one level (cm):

Multifocal tumor:
Y
N

Location of dominant tumor(s):
   R Apex
   L Apex
   R Mid
   L Mid
   R Base
   L Base
   R Postero-lateral (neurovascular bundle)
   L Postero-lateral (neurovascular bundle)
   R Anterior
   L Anterior
   R Posterior
   L Posterior

Percent of prostate gland involved by tumor: %

Extraprostatic extension:
Absent
Present- Focal, specify site, mm
Present- Established, specific site

Margins:
Benign glands at surgical margin (capsular incision)
Margins negative for invasive carcinoma
Margins positive for invasive carcinoma:
       Apical
       Bladder neck
       Anterior
       Lateral
       Postero-lateral (neurovascular bundle)
       Posterior
       Margin focally involved by invasive carcinoma, extent (mm):
       Margin extensively involved by invasive carcinoma, extent (mm):

Angiolymphatic invasion:
Absent
Present
Indeterminate

Seminal vesicle invasion:
Absent
Present
Indeterminate

Pathologic Staging (pTNM) 7th edition AJCC
Primary Tumor (pT):
pT2a: Organ confined, Unilateral, involving one-half of 1 lobe or less
pT2b: Organ confined, Unilateral, involving more than one-half of 1 lobe
pT2c: Organ confined, Bilateral disease
pT2x: Organ confined, but extends to margin more than focally
pT3: Extraprostatic extension
pT3a: Extraprostatic extension
pT3b: Seminal vesicle invasion
pT4: Invasion of rectum, levator muscles or pelvic wall

Regional Lymph Nodes (pN):
pNX: Cannot be assessed
pN0: No regional lymph node metastasis ( 0 / )
pN1: Metastasis in regional lymph node or nodes ( / )