Interpreting prostate puncture pathology reports

  The prostate puncture is the basis for the diagnosis of prostate cancer. In addition to the presence of prostate cancer, the puncture report often shows some “incomprehensible” English words. The chance of ASAP combined with prostate cancer is close to 40%, so if ASAP is found on the first puncture, it is recommended to puncture again in the short term (within 3 months).  The chance of HGPIN combined with prostate cancer is about 30%, if HGPIN is found in the first puncture, it is necessary to decide the time to puncture again based on PSA and prostate volume. If you have more than 2 stitches of HGPIN, the risk of prostate cancer is increased by more than 2 times, so you need to puncture again as soon as possible.  3.PINATYP: This is a case where both ASAP and HGPIN are present at the same time. In this case, the chance of combined prostate cancer is more than 50%, so there is no doubt that early puncture is the best choice.  4. Gleason: The international standard for evaluating the malignancy of prostate cancer, from low to high score of 1-5, expressed in the form of A+B in prostate puncture results, where A represents the most common malignancy score in the specimen, while B represents the next most common malignancy score. This format is similar to the way time is recorded – May 3 or June 5 – with the former being the decisive element and the latter being the secondary element. For both physicians and patients, the lower the Gleason score the better, e.g. Gleason 5+5 is more malignant than 3+3, while Gleason 4+3 is also more troublesome than 3+4.