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MOUNT SINAI SCHOOL OF MEDICINE - THE MOUNT SINAI HOSPITAL

THE MOUNT SINAI LABORATORY One Gustave L. Levy Place , New York, NY 10029-6574 Phone: (212) 241-7373, Fax (212) 289-2899

SURGICAL PATHOLOGY REPORT

PATIENT:

WALDHEIM, PETER A.

SPECIMEN# :

Unit # :

Location :

N10C

DOB:

£

Serial #:4 ••••• '

ge: 69 Sex: M

 

tz- ••

Referring Physician: DAVID SAMADI M.D .

Revenue Center :

INPTMS

Date of Procedure:

10/21/2009

Deliver

AP6725

Date of Receipt:

10/21/20098:03:29

To:

DAVID SAMADI M . D. 625 MADISON AVENUE 2ND FLOOR NEW YORK NY, 10022

PM Header Update : 10/26/2009

SPECIMEN SOURCE:

A. PROSTATE

B . RIGHT PELVIC LYMPH NODE

C. LEFT PELVIC LYMPH NODE

CLINICAL HISTORY:

69 years old male with a history of prostate ca. Now SIP RARP with PLND

(The above clinical history has been transcribed from the information written on the requisition sheet provided by your office. Please notify us immediately of misinterpretation or errors) .

DIAGNOSIS:

A. Radical prostatectomy specimen (32 grams):

- Prostate extensively involved bilaterally by prostatic adenocarcioma (Gleason's pattern 4+3, total score 7).

- Approximately 60% of prostate slides contain tumor.

- The dominant tumor is located in right lobe and measures 1.7 cm.

- The tumor focally extends through prostatic pseudocapsule into extraprostatic soft

tissue.

- P erin e ru a l invasion by carcinoma and high grade PIN are identified.

- Left seminal vesicle is involved by carcinoma.

- The apical, basal, pseudocapsular and soft tissue resection margins and right seminal

vesicle are free of tumor .

B. Right pelvic node - Two lymph nodes, negative for tumor (0/2).

C. Left pelvic node - Two lymph nodes, negat i ve for tumor (0/2).

AJCC Stage: pT3b No Mx

Guang-Qian Xiao, M.D. Attending Pathologist

SF

GROSS DESCRIPTION:

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MOUNT SINAI SCHOOL OF MEDICINE - THE MOUNT SINAI HOSPITAL

THE MOUNT SINAI LABORATORY One Gus t ave L. Levy Place , New Yo r k , NY 1 0029-6574 Phone: (2 1 2) 24 1 -7373 , Fax ( 212) 289-2899

SURGICAL PATHOLOGY REPORT

PATIENT:

WALD H EIM , PETER A.

SPECIMEN# :

~.

The spec i men is labeled prosta t e , i t i s r eceived in formal i n and consists of a 32 g p r od u ct of a rad i cal pros t a t ectomy . The spec i men i s 4 . 5 ern f r om right to le ft, 3 . 2 cm f rom an t erior t o pos t er i o r, and 3-cm from superio r to infer i or. The caps u le is mo t tled tan ' pink and shaggy with mode r ate fib r ous adhesions. There is

caute r y effed ' '' at the prosthetic ure t hral/blad der neck base . The

black. The apex and base a r e coned a n d t he specime n is sec ti oned from a p ex to base t o reveal a diffuse wh i te

t a n no d u l ar fi rm sur f ace .

q u ad r an t (A 1 0) T he r emainde r of the spec i men exhibits a m i n i mal amoun t o f whirled lobular t a n nodu l ariti es

located peri pherally to the prostatic urethra .

righ t side is inked red and the left s i de i s inked

is ide n t i f i ed at t he left poster i or

A d isti n c t 0 . 3 x 0.2 x 0 . 2 cm ye l low t an f ir m nodule

The r i ght vas deferens is 3.4 x 0.5 cm and is cylindr i ca l , p i nk and unremarkable .

x 1. 6 x 0 . 5 c m , lobu l a r a n d pink and se cti o nin g r e vea l s a c r yp ti c g r ay t a n un r e m a rk able s urface .

The r i ght sem i nal vesicle i s . r 8 ~ ~

.

The left grey- t an deferens i s 2 . 8 x 0.4 cm and is cylindr i ca l and p i nk and unremarkable .

is 3 x 1. 5 x 0 . 5 e r n , lobular and pink, sectioning reveals a cryptic a grey-tan unremarkable surface .

The left seminal vesicle

.

Prosta t e gland i s en t i r e l y sub m i tt ed.

Su m ma r y of sec ti ons A 1 right base , A2 l eft base , A3 r i gh t apex , A4 left apex , A5 right ante ri or - posterio r ,

A6 lef t

anterior- pos t erior , A 7 right anter i o r, A8 left anterio r right posterior, A 10 left post e r i or (nodule) A 11 r ight anter i o r ,

A 1 2 lef t an t e ri or , A 13 r i ght

A 1 8 l ef t pos t er i o r, A 19

A24-lef t ante r ior A . 25 -r igh t poster i o r A26- l eft pos t er i o r A27- l eft anteri o r a 28- r igh t sem i nal vesic l e and vas

de f erens A29 - le ft sem in al vesicle and vas defe r ens , tota l 29

poster i or , A 14 left posteri or , A 15 right anterior, A 16 left anterior,

A 17 right posterio r ,

righ t a n te ri or ,

A20 l eft an t erior A21-r i g h t posteri o r A22 - left posteri o r A23- ri ght anter i o r .

B - The specimen is l abeled " right pelvic lymph node" received in formalin and consists

agg r ega t e o f yellow -t an lobulated fa tt y t i ssue containing a 2 . 7 x 1 . 5 x 0.2 cm yellow tan f ir m lymph node which is

of a 4 . 5 x 4 x 0 . 3 cm

e

nt irely submi t ted

S

um ma r y o f sec t io n s :

B1 undesigna t ed to t al 1

C.

- The specimen i s labeled "lef t pelvic lymph

node" received in f ormalin and consists of

a 3.6 x 1 x 0.5 cm

ye

l low t an fir m lymph node s urr ounded by f at t y tissue wh i ch i s b isected and ent i rely subm i tted .

Summary o f sec ti ons :

C 1 -C2 undes i g n a t ed t o t a l 2

Dic t : 10/22/09 RR

T rans: 1 0/22/09 SF

Descriptio n s and diagnoses we r e

reviewed w i th Pa t hology Resident , C . Rec a varren , M . D.

. ::1

The e l e ctr o ni c sig n atu r e in d i c at es th a t the nam ed A tte nding Pat h o l og i s t h as e v a l uated t h e specime n refe r red t o in the S i g ~ ed

s e c ti o n o f th e rep o rt and f o rmu l ate d t h e di ag n o sis therein .

Fina l D i agnos i s p erf ormed by Guang-Qian Xiao , M . D .

Elec tr onical l y sign e d 10 / 26 /2 009 3 : 33 : 05PM

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