Case ID: 516

Publication date: 27 Aug, 2015

Consensus grade: GS 3+4=7 (ISUP 2)

User Diagnosis Difficulty Comment
Pathologist 1 GS 3+4=7 (ISUP 2) Typical
Pathologist 2 GS 3+4=7 (ISUP 2) Typical
Pathologist 3 GS 3+4=7 (ISUP 2) Borderline higher
Pathologist 4 GS 3+4=7 (ISUP 2) Borderline lower
Pathologist 5 GS 3+4=7 (ISUP 2) Typical
Pathologist 6 GS 3+3=6 (ISUP 1) Borderline higher

Poorly formed and tortuous glands: controversial whether a 3+4 or 3+3

Pathologist 7 GS 3+4=7 (ISUP 2) Borderline higher
Pathologist 8 GS 3+4=7 (ISUP 2) Borderline higher
Pathologist 9 GS 3+4=7 (ISUP 2) Borderline higher

mostly discrete glands, a few irregular, branching glands

Pathologist 10 GS 3+4=7 (ISUP 2) Typical
Pathologist 11 GS 3+4=7 (ISUP 2) Typical
Pathologist 12 GS 3+4=7 (ISUP 2) Typical
Pathologist 13 GS 3+4=7 (ISUP 2) Typical

30-40% pattern 4

Pathologist 14 GS 3+4=7 (ISUP 2) Borderline higher
Pathologist 15 GS 3+4=7 (ISUP 2) Typical
Pathologist 16 GS 3+4=7 (ISUP 2) Typical
Pathologist 17 GS 3+4=7 (ISUP 2) Typical
Pathologist 18 GS 3+4=7 (ISUP 2) Borderline lower
Pathologist 19 GS 3+4=7 (ISUP 2) Typical

some cribriforms, some confluent glands, would feel better if patient was reated like a 3+4 than a 3+3

Pathologist 20 GS 3+4=7 (ISUP 2) Typical
Pathologist 21 GS 3+4=7 (ISUP 2) Typical
Pathologist 22 GS 3+4=7 (ISUP 2) Typical
Pathologist 23 GS 3+4=7 (ISUP 2) Borderline lower


Case description (by case creator):

Mainly well-formed glands. Some poorly formed glands.