Question: 20170070

Status


Final

Category


#1:   Primary site
#2:   Histology
#3:   Prostate


References


Source 1:   Subject matter expert
pgs:  
Notes:  
Source 2:  
pgs:  
Notes:  


Question


Primary Site/Histology--Urinary:  Is a urethral lesion showing intraductal carcinoma of the prostate reportable?  What is the primary site and histology code? See discussion.



Discussion


Pathology report diagnosis: Urethral lesion: Intraductal carcinoma of the prostate, see microscopic. Clinical Information: Urethral Lesion/Hematura. Microscopic Description: The biopsy shows dilated ductal structures filled with anaplastic epithelium showing areas of comedo-type necrosis. The tumor cells have enlarged nuclei prominent nucleoli and mitoses are identified. Surrounding benign prostatic tissue is also present. Immunostains show that the tumor cells stain for PSA, PSAP, P504s but are negative for GATA-3. The other components of the PIN 4 stain CK5/14 and P63 stain the basal cells surrounding the tumor confirming the intraductal nature of the process. Intraductal carcinoma should not be confused with high grade PIN as the former is usually associated with high grade invasive tumor. Is this C619 and 8500/2?
 



Answer


The primary site is prostate, C619, and the histology is intraductal carcinoma, 8500/2. Further workup on this case is likely. If more information is received, review this case and update if needed.



History




Last Updated


10/20/2017

Date Finalized


01/10/2018