Question

The specimen is labeled with the patient’s name and "prostate," which consists of approximately 27 gm of pink-tan rubbery prostate fragments. Representative sections in 10 cassettes.

MICROSCOPIC DESCRIPTION:
Sections of prostate show both glandular and stromal nodular hyperplasia. Focally, glands show variable cystic dilatation, basal cell hyperplasia and there are focal mild acute and chronic inflammatory infiltrates. A few fragments show prostatic urethra with benign urothetium and mild chronic inflammatory infiltrates. There is a focus of infiltrative single, separate, loosely packed, small uniform low grade malignant glands with slightly enlarged hyperchromatic nuclei with nucleoli, with some cautery artifact, involving less than 1% of the specimen.
DIAGNOSIS:
Transurethral resection prostate:
Focal adenocarcinoma, primary Gleason grade 2, involving less than 1% of the specimen and adenomyomatous hyperplasia with mild acute and chronic inflammation.
CPT CODE______

Answer 1

The provided information describes a transurethral resection of the prostate that includes glandular and stromal nodular hyperplasia, acute and chronic inflammatory infiltrates, and a small focus of low-grade malignant glands.

Step-by-step explanation:

The provided information is a description of a transurethral resection of the prostate. It states that the specimen was labeled with the patient's name and "prostate," and consisted of approximately 27 gm of pink-tan rubbery prostate fragments. The microscopic description indicates the presence of glandular and stromal nodular hyperplasia, focal acute and chronic inflammatory infiltrates, and a small focus of low-grade malignant glands involving less than 1% of the specimen. The diagnosis includes focal adenocarcinoma, primary Gleason grade 2, and adenomyomatous hyperplasia with mild inflammation.

Regarding the CPT code, it is not mentioned in the provided information. CPT codes are used to identify medical procedures for billing purposes. It would be best to consult a medical professional or refer to the relevant guidelines to determine the appropriate CPT code for a transurethral resection of the prostate with the given characteristics.