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Case of the Week

2020-47 / November 23 

Contributor: Liwei Jia



A man in his 50s presented with an elevated PSA of 27 ng/ml.  A prostate biopsy was performed and all cores had prostatic cancer with 80% to 90% involvement of each core. Subsequent radical prostatectomy was performed and revealed the following findings.  


Click on the below thumbnails to enlarge photos.

4 photo(s) Updated on: November 19, 2020


Quiz

1. What is the correct grade based on the photos above?


a. Gleason score 3 + 4 = 7 (Grade Group 2) with tertiary pattern 5

b. Gleason score 4 + 3 = 7 (Grade Group 3) with tertiary pattern 5

c. Gleason score 4 + 3 = 7 (Grade Group 3)

d. Gleason score 3 + 5 = 8 (Grade Group 4)

e. Gleason score 5 + 4 = 9 (Grade Group 5)




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The Genitourinary Pathology Society (GUPS) was formed with the vision of advancing the care of patients with urologic diseases through enhancements of best practices, research, and education in the subspecialty of Urological Pathology.

GUPS is an official Companion Society of the United States and Canadian Academy of Pathology (USCAP).

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