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: ____________________

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The Answer of 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: ____________________

SURGICAL PATHOLOGY CLINICAL HISTORY: BENIGN HYPERTROPHY OF PROSTATE