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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:
Unit #:
WALDHEIM, PETER A.
• Serial #:4 •••••
SPECIMEN#:
Location: N10C
tz- ••
DOB: £ ge: 69 Sex: M '
Revenue Center: INPTMS
Referring Physician: DAVID SAMADI M.D.
Date of Procedure: 10/21/2009
Deliver AP6725 Date of Receipt: 10/21/20098:03:29
To: DAVID SAMADI M.D. PM
625 MADISON AVENUE Header Update: 10/26/2009
2ND FLOOR
NEW YORK NY, 10022

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.
- Perinerual 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, negative 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 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#:

The specimen is labeled prostate, it is received in formalin and consists of a 32 g product of a radical
prostatectomy. The specimen is 4.5 ern from right to left, 3.2 cm from anterior to posterior, and 3-cm from
superior to inferior. The capsule is mottled tan'pink and shaggy with moderate fibrous adhesions. There is
cautery effed'''at the prosthetic urethral/bladder neck base. The right side is inked red and the left side is inked
black. The apex and base are coned and the specimen is sectioned from apex to base to reveal a diffuse white
tan nodular firm surface. A distinct 0.3 x 0.2 x 0.2 cm yellow tan firm nodule is identified at the left posterior
quadrant (A 10) The remainder of the specimen exhibits a minimal amount of whirled lobular tan nodularities
located peripherally to the prostatic urethra.

The right vas deferens is 3.4 x 0.5 cm and is cylindrical, pink and unremarkable. The right seminal vesicle is .r8~~
x 1.6 x 0.5 cm, lobular and pink and sectioning reveals a cryptic gray tan unremarkable surface. .

The left grey-tan deferens is 2.8 x 0.4 cm and is cylindrical and pink and unremarkable. The left seminal vesicle
is 3 x 1.5 x 0.5 ern, lobular and pink, sectioning reveals a cryptic a grey-tan unremarkable surface. .

Prostate gland is entirely submitted.

Summary of sections A 1 right base, A2 left base, A3 right apex, A4 left apex, A5 right anterior-posterior, A6 left
anterior-posterior, A 7 right anterior, A8 left anterior right posterior, A 10 left posterior (nodule) A 11 right anterior,
A 12 left anterior, A 13 right posterior, A 14 left posterior ,A 15 right anterior, A 16 left anterior, A 17 right posterior,
A 18 left posterior, A 19 right anterior, A20 left anterior A21-right posterior A22-left posterior A23-right anterior .
A24-left anterior A.25-right posterior A26-left posterior A27-left anterior a 28-right seminal vesicle and vas
deferens A29-left seminal vesicle and vas deferens, total 29

B-The specimen is labeled "right pelvic lymph node" received in formalin and consists of a 4.5 x 4 x 0.3 cm
aggregate of yellow-tan lobulated fatty tissue containing a 2.7 x 1.5 x 0.2 cm yellow tan firm lymph node which is
entirely submitted
Summary of sections: B1 undesignated total 1

C.- The specimen is labeled "left pelvic lymph node" received in formalin and consists of a 3.6 x 1 x 0.5 cm
yellow tan firm lymph node surrounded by fatty tissue which is bisected and entirely submitted.
Summary of sections: C1-C2 undesignated total 2

Dict: 10/22/09 RR
Trans: 10/22/09 SF
Descriptions and diagnoses were reviewed with Pathology Resident, C. Recavarren, M.D. .::1

The electronic signature indicates that the named Attending Pathologist has evaluated the specimen referred to in the Sig~ed
section of the report and formulated the diagnosis therein.

Final Diagnosis performed by


Guang-Qian Xiao, M.D.
Electronically signed 10/26/2009 3:33:05PM

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