3
SPECIMEN INFORMATION PHYSICIAN INFORMATION Patient, Practice M Sex: 93,1/1/1911 Age: PATIENT INFORMATION JOHN R. PATHOLOGIST, M.D. 123 MAIN STREET SAN JOSE, CA 95124 Patient ID: Collected: Received: Reported: 09/15/2004 at 10:37:08 AM 09/14/2004 09/14/2004 k-04-00007 Accession #: Reprinted: 7/17/2007 at 3:23:32 PM Location: Account#: CLINICAL INFORMATION PROSTATE PATHOLOGY REPORT ICD-9: 790.93/600.9. Elevated PSA. PROSTATE DIAGRAM PHOTOMICROGRAPH 7. LLatBase: Benign 10. LMedBase: Benign 4. RMedBase: Adenocarcinoma, GS6, 5mm, 33% 1. RLatBase: Adenocarcinoma, GS6, 10mm, 66% 8. LLatMid: Benign 11. LMedMid: Benign 5. RMedMid: Adenocarcinoma, GS6, 7mm, 54% 2. RLatMid: Adenocarcinoma, GS6, 3mm, 50% 9. LLatApex: Benign 12. LMedApex: Benign 6: RMedApex: Adenocarcinoma, GS6, 4mm, 66% 3. RLatApex: Adenocarcinoma, GS6, 1mm, 12% FINAL DIAGNOSIS 1. PROSTATE, RIGHT LATERAL BASE: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 10 MM, 66% OF LENGTH OF CORE BIOPSY. 2. PROSTATE, RIGHT LATERAL MID: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 3 MM, 50% OF LENGTH OF CORE BIOPSY. 3. PROSTATE, RIGHT LATERAL APEX: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 1 MM, 12% OF LENGTH OF CORE BIOPSY. 4. PROSTATE, RIGHT MEDIAL BASE: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 5 MM, 33% OF LENGTH OF CORE BIOPSY. 5. PROSTATE, RIGHT MEDIAL MID: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 7 MM, 54% OF LENGTH OF CORE BIOPSY. 6. PROSTATE, RIGHT MEDIAL APEX: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 4 MM, 66% OF LENGTH OF CORE BIOPSY. 7. PROSTATE, LEFT LATERAL BASE: BENIGN PROSTATIC TISSUE. 8. PROSTATE, LEFT LATERAL MID: BENIGN PROSTATIC TISSUE. *** FINAL REPORT *** Julia S. Chan, M.D., Laboratory Director, [email protected] Associated Pathology Medical Group, 105A Cooper Court, Los Gatos, CA 95032 (408)399-5050 FAX: (408)395-0471 Page: 1 of 3 Patient Address:

PROSTATE PATHOLOGY REPORT CLINICAL INFORMATION · SPECIMEN INFORMATION Patient, Practice PATIENT INFORMATION Accession #: k-04-00007 1. Specimen consists of a single fragment of light

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Page 1: PROSTATE PATHOLOGY REPORT CLINICAL INFORMATION · SPECIMEN INFORMATION Patient, Practice PATIENT INFORMATION Accession #: k-04-00007 1. Specimen consists of a single fragment of light

SPECIMEN INFORMATION

PHYSICIAN INFORMATION

Patient, PracticeMSex:93,1/1/1911Age:

PATIENT INFORMATION

JOHN R. PATHOLOGIST, M.D.123 MAIN STREETSAN JOSE, CA 95124

Patient ID:

Collected:

Received:

Reported: 09/15/2004 at 10:37:08 AM

09/14/2004

09/14/2004

k-04-00007Accession #:

Reprinted: 7/17/2007 at 3:23:32 PM

Location:

Account#:

CLINICAL INFORMATION

PROSTATE PATHOLOGY REPORT

ICD-9: 790.93/600.9. Elevated PSA.

PROSTATE DIAGRAM PHOTOMICROGRAPH

7. LLatBase:Benign

10. LMedBase:Benign

4. RMedBase:Adenocarcinoma,GS6, 5mm, 33%

1. RLatBase:Adenocarcinoma,GS6, 10mm,66%

8. LLatMid:Benign

11. LMedMid:Benign

5. RMedMid:Adenocarcinoma,GS6, 7mm, 54%

2. RLatMid:Adenocarcinoma,GS6, 3mm, 50%

9. LLatApex:Benign

12. LMedApex:Benign

6: RMedApex:Adenocarcinoma,GS6, 4mm, 66%

3. RLatApex:Adenocarcinoma,GS6, 1mm, 12%

FINAL DIAGNOSIS

1. PROSTATE, RIGHT LATERAL BASE: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 10 MM, 66% OF

LENGTH OF CORE BIOPSY.

2. PROSTATE, RIGHT LATERAL MID: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 3 MM, 50% OF

LENGTH OF CORE BIOPSY.

3. PROSTATE, RIGHT LATERAL APEX: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 1 MM, 12% OF

LENGTH OF CORE BIOPSY.

4. PROSTATE, RIGHT MEDIAL BASE: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 5 MM, 33% OF

LENGTH OF CORE BIOPSY.

5. PROSTATE, RIGHT MEDIAL MID: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 7 MM, 54% OF LENGTH

OF CORE BIOPSY.

6. PROSTATE, RIGHT MEDIAL APEX: ADENOCARCINOMA, GLEASON SCORE 6 (3 + 3), TUMOR SIZE 4 MM, 66% OF

LENGTH OF CORE BIOPSY.

7. PROSTATE, LEFT LATERAL BASE: BENIGN PROSTATIC TISSUE.

8. PROSTATE, LEFT LATERAL MID: BENIGN PROSTATIC TISSUE.

*** FINAL REPORT ***

Julia S. Chan, M.D., Laboratory Director, [email protected] Pathology Medical Group, 105A Cooper Court, Los Gatos, CA 95032 (408)399-5050 FAX: (408)395-0471

Page: 1 of 3

Patient Address:

Page 2: PROSTATE PATHOLOGY REPORT CLINICAL INFORMATION · SPECIMEN INFORMATION Patient, Practice PATIENT INFORMATION Accession #: k-04-00007 1. Specimen consists of a single fragment of light

SPECIMEN INFORMATION

Patient, Practice

PATIENT INFORMATION

k-04-00007Accession #:

8. PROSTATE, LEFT LATERAL MID: BENIGN PROSTATIC TISSUE.

9. PROSTATE, LEFT LATERAL APEX: BENIGN PROSTATIC TISSUE.

10. PROSTATE, LEFT MEDIAL BASE: BENIGN PROSTATIC TISSUE.

11. PROSTATE, LEFT MEDIAL MID: BENIGN PROSTATIC TISSUE.

12. PROSTATE, LEFT MEDIAL APEX: BENIGN PROSTATIC TISSUE.

JSC/rb

MICROSCOPIC EXAMINATION

1. This prostatic tissue shows malignant change of the glandular epithelium with features as tabulated in the diagnosis. Perineuralextension is not seen.

2. This prostatic tissue shows malignant change of the glandular epithelium with features as tabulated in the diagnosis. Perineuralextension is not seen.

3. This prostatic tissue shows malignant change of the glandular epithelium with features as tabulated in the diagnosis. Perineuralextension is not seen.

4. This prostatic tissue shows malignant change of the glandular epithelium with features as tabulated in the diagnosis. Perineuralextension is not seen.

5. This prostatic tissue shows malignant change of the glandular epithelium with features as tabulated in the diagnosis. Perineuralextension is not seen.

6. This prostatic tissue shows malignant change of the glandular epithelium with features as tabulated in the diagnosis. Perineuralextension is not seen.

7. In addition to the initial slide, sections from deeper levels are studied. Prostatic tissue fragments show benign glands and/orstroma.

8. In addition to the initial slide, sections from deeper levels are studied. Prostatic tissue fragments show benign glands and/orstroma.

9. In addition to the initial slide, sections from deeper levels are studied. Prostatic tissue fragments show benign glands and/orstroma.

10. In addition to the initial slide, sections from deeper levels are studied. Prostatic tissue fragments show benign glands and/orstroma.

11. In addition to the initial slide, sections from deeper levels are studied. Prostatic tissue fragments show benign glands and/orstroma.

12. In addition to the initial slide, sections from deeper levels are studied. Prostatic tissue fragments show benign glands and/orstroma.

GROSS DESCRIPTION

PATHOLOGIST: Julia S Chan, M.D., Electronically Signed

*** FINAL REPORT ***

Julia S. Chan, M.D., Laboratory Director, [email protected] Pathology Medical Group, 105A Cooper Court, Los Gatos, CA 95032 (408)399-5050 FAX: (408)395-0471

Page: 2 of 3

Patient Address:

Page 3: PROSTATE PATHOLOGY REPORT CLINICAL INFORMATION · SPECIMEN INFORMATION Patient, Practice PATIENT INFORMATION Accession #: k-04-00007 1. Specimen consists of a single fragment of light

SPECIMEN INFORMATION

Patient, Practice

PATIENT INFORMATION

k-04-00007Accession #:

1. Specimen consists of a single fragment of light tan, core-like tissue measuring approximately 1.5 cm in greatest dimension. Thespecimen was inked and totally submitted in one cassette.

2. Specimen consists of a single fragment of similar tissue measuring approximately 0.6 cm in greatest dimension. Inked and totallysubmitted.

3. Specimen consists of a single fragment of similar tissue measuring approximately 0.8 cm in greatest dimension. Inked and totallysubmitted.

4. Specimen consists of a single fragment of similar tissue measuring approximately 1.5 cm in greatest dimension. Inked and totallysubmitted.

5. Specimen consists of a single fragment of similar tissue measuring approximately 1.3 cm in greatest dimension. Inked and totallysubmitted.

6. Specimen consists of a single fragment of similar tissue measuring approximately 0.6 cm in greatest dimension. Inked and totallysubmitted.

7. Specimen consists of a single fragment of similar tissue measuring approximately 2 cm in greatest dimension. Inked and totallysubmitted.

8. Specimen consists of a single fragment of similar tissue measuring approximately 2 cm in greatest dimension. Inked and totallysubmitted.

9. Specimen consists of a single fragment of similar tissue measuring approximately 1.7 cm in greatest dimension. Inked and totallysubmitted.

10. Specimen consists of a single fragment of similar tissue measuring approximately 2 cm in greatest dimension. Inked and totallysubmitted.

11. Specimen consists of a single fragment of similar tissue measuring approximately 2 cm in greatest dimension. Inked and totallysubmitted.

12. Specimen consists of a single fragment of similar tissue measuring approximately 1.5 cm in greatest dimension. Inked and totallysubmitted.

LP/rb

Microscopic image and diagram, if present, are a symbolic representation of the key findings of this case. The site(s)designated on the organ diagram are based upon clinical information provided and do not necessarily indicate the specificlocation from where the biopsy was taken. The image and diagram are not intended to replace a complete reading of the

final report.

*** FINAL REPORT ***

Julia S. Chan, M.D., Laboratory Director, [email protected] Pathology Medical Group, 105A Cooper Court, Los Gatos, CA 95032 (408)399-5050 FAX: (408)395-0471

Page: 3 of 3

Patient Address: