Prostate Quiz 1

  1. Older age has a significant impact on prostate cancer survival.
  2. True
  3. False
  1. The screening recommendations for prostate cancer heavily influence prostate cancer incidence rates.
  2. True
  3. False
  1. Smoking is a risk for prostate cancer.
  2. True
  3. False
  1. 80-85% of prostate cancers occurs in which zone?
  2. Peripheral Zone
  3. Central Zone
  4. Transition Zone
  5. Anterior zone
  1. Which zone is composed of muscle and fibrous tissue?
  2. Anterior Zone
  3. Central Zone
  4. Peripheral Zone
  5. Transition zone
  1. Which lobe can be palpated through the rectum during DRE?
  2. Anterior Lobe
  3. Lateral Lobes
  4. Median Lobe
  5. Posterior Lobe
  1. Which nodes are considered distant for Prostate?
  2. Internal Iliac
  3. Common Iliac
  4. Obturator
  5. Sacral
  1. Final Diagnosis on 2018 pathology report states: Acinar adenocarcinoma, sarcomatoid. The histology would be coded to:
  2. 8010/3 Carcinoma, NOS
  3. 8140/3 Adenocarcinoma, NOS
  4. 8550/3 Acinar Adenocarcinoma, NOS
  5. 8572/3 Acinar Adenocarcinoma, sarcomatoid

Prostate Quiz 2

We will work through 8th edition together.

For Gleason and grade, just enter the value you would use to calculate the stage.

Scenario 1

A patient underwent cystoprostatectomy for bladder cancer. Pathology showed an incidental finding of adenocarcinoma of the prostate. Imaging prior to surgery did not indicate any metastasis. PSA taken two weeks prior to surgery was 2.3.

  • Adenocarcinoma
  • Gleason Score 6 (3+4)
  • Tumor Quantification: Less than 5% of resected tissue
  • Extraprostatic Extension: Not identified
  • Margins: Negative
  • 12 pelvic lymph nodes: negative

Data Item / 7th Edition / 8th Edition
Clinical T
Clinical N
Clinical M
Clinical Stage
Pathologic T
Pathologic N
Pathologic M
Stage Group

Grade Group

•Gleason grade group 1: Gleason score ≤6

•Gleason grade group 2: Gleason score 3+4=7

•Gleason grade group 3: Gleason score 4+3=7

•Gleason grade group 4: Gleason score 8

•Gleason grade group 5: Gleason score 9-10

Scenario 2

A patient presented with a recent PSA of 7.0 ng/ml and a DRE indicating small nodule in the right lobe of the prostate. The nodule involved less than half of the right lobe of the prostate. Biopsies revealed adenocarcinoma Gleason 8 (4+4) in the right lobe of the prostate. Biopsies from the left lobe were negative. The patient had a radical prostatectomy which showed a 5mm focus of adenocarcinoma Gleason 7 (4+3) in the right lobe. No further malignancy identified within the prostate. Two pelvic lymph nodes were negative for malignancy.

Data Item / 7th Edition / 8th Edition
Clinical T
Clinical N
Clinical M
Clinical Stage
Pathologic T
Pathologic N
Pathologic M
Stage Group

Grade Group

•Gleason grade group 1: Gleason score ≤6

•Gleason grade group 2: Gleason score 3+4=7

•Gleason grade group 3: Gleason score 4+3=7

•Gleason grade group 4: Gleason score 8

•Gleason grade group 5: Gleason score 9-10