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Prostate
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Prostate
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Prostate - TURP or Subtotal Prostatectomy (SPROT) (CAP 4.0)
- For invasive carcinomas of the prostate gland.
Specimen and Surgical Procedure
Specimen, procedure....................................................................
Tumor
Histologic type.............................................................................
Gleason score
Primary (predominant) pattern............................................. Secondary (worst remaining) pattern....................................
Total.................................................................................
Gleason grade group * ..
Tumor quantitation
Percentage of prostatic tissue involved by tumor....................
Periprostatic fat invasion (required only if present)......................... present/not identified
Seminal vesicle invasion (required only if present).......................... present/not identified
Calculating Tumor Quantitation
TURP Specimens
number of positive chips/total number of chips x 100% =
*Grade Group
___ Grade group 1 (Gleason score < or = 6)
___ Grade group 2 (Gleason score 3+4)
___ Grade group 3 (Gleason score 4+3)
___ Grade group 4 (Gleason score 4+4, 3+5 or 5+3)
___ Grade group 5 (Gleason score 9 – 10 )
Prostate - Radical Prostatectomy (SPROR)
(CAP 4.0)
- For invasive carcinomas of the prostate gland.
Specimen and Surgical Procedure
Specimen, procedure.....................................................................
Tumor
Histologic type..............................................................................
Gleason score
Primary pattern.................................................................. Secondary pattern..............................................................
Tertiary pattern (if applicable).............................................. Total.................................................................................
Gleason grade group * ..
Tumor quantitation (may document percentage and/or size) Percentage of prostate involved by tumor............................... T Tumor size (greatest single dimension)..................................
Extraprostatic extension (if present, specify focal vs. nonfocal).......... present/absent If present, specify site(s).....................................................
Urinary bladder neck invasion .present/absent
Seminal vesicle invasion (requires invasion of muscular wall)............. present/absent
Treatment effect.........not identified/radiation effect present/hormonal effect present
Final margins (if positive mention linear extent)
Apical margin.................................................. positive(specify right or left)/negative
Bladder neck margin........................................ positive(specify right or left)/negative
Anterior margin............................................... positive(specify right or left)/negative
Lateral margin................................................ positive(specify right or left)/negative
Postero-lateral (neurovascular bundle) margin..... positive(specify right or left)/negative
Posterior margin.............................................. positive(specify right or left)/negative
Other margin(s) (if applicable; please specify).............................. positive/negative
Lymph Nodes
Regional lymph nodes involved.................................................................. ___
Regional lymph nodes examined................................................................ ___
Pathologic stage (AJCC 8th edition)................................... pT__N__M__