SURGICAL PATHOLOGY CLINICAL HISTORY: BENIGN HYPERTROPHY OF PROSTATE.

SPECIMEN RECEIVED: PROSTATE CHIPS.

GROSS DESCRIPTION:
The specimen is labeled with the patient’s name and “prostate,” which consists of approximately 27 gm of pink-tan rubbery prostate fragments. Representative sections in 10 cassettes.

MICROSCOPIC DESCRIPTION:
Sections of prostate show both glandular and stromal nodular hyperplasia. Focally, glands show variable cystic dilatation, basal cell hyperplasia and there are focal mild acute and chronic inflammatory infiltrates. A few fragments show prostatic urethra with benign urothetium and mild chronic inflammatory infiltrates. There is a focus of infiltrative single, separate, loosely packed, small uniform low grade malignant glands with slightly enlarged hyperchromatic nuclei with nucleoli, with some cautery artifact, involving less than 1% of the specimen.

DIAGNOSIS:
Transurethral resection prostate:
Focal adenocarcinoma, primary Gleason grade 2, involving less than 1% of the specimen and adenomyomatous hyperplasia with mild acute and chronic inflammation.

CPT CODE