Forum - Questions & Answers

Sep 10th, 2012 - rhorton4 22 

perineural invasion of the prostate

Is there a dx code for PNI of the prostate?

This is from Path report.

RIGHT MID PROSTATE BIOPSY:
- PROSTATIC ADENOCARCINOMA, GRADES 4 + 5 = SCORE 9 OF 10, INVOLVING
APPROXIMATELY 70% OF THE CORE.
- PERINEURAL INVASION IS IDENTIFIED

Sep 10th, 2012 - nmaguire   2,606 

re: perineural invasion of the prostate

Code the prostate cancer.
Perineural invasion is a very significant finding on a prostate biopsy. It often indicates high risk prostate cancer, even in men with seemingly low risk disease. PNI is also usually associated with a poorer prognosis, leading to a higher risk of recurrent disease. As a result, men with prostate cancer that are found to have PNI on prostate biopsy are often provided with more aggressive therapy, whether it be in the form of surgery or radiation. Understanding the significance of PNI on prostate biopsy is crucial to formulating a successful battle plan against prostate cancer.

Sep 10th, 2012 - rhorton4 22 

re: perineural invasion of the prostate

Thank you, much appreciated



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