Case ID: 613

Publication date: 27 Aug, 2015

Consensus grade: GS 4+4=8 (ISUP 4)

User Diagnosis Difficulty Comment
Pathologist 1 GS 4+4=8 (ISUP 4) Typical

Plus IDC

Pathologist 2 GS 4+4=8 (ISUP 4) Typical
Pathologist 3 GS 4+4=8 (ISUP 4) Typical
Pathologist 4 GS 4+4=8 (ISUP 4) Borderline lower
Pathologist 5 GS 4+4=8 (ISUP 4) Typical
Pathologist 6 GS 9-10 (ISUP 5) Borderline higher

4+5=9. Single cells.

Pathologist 7 GS 4+4=8 (ISUP 4) Borderline lower

Very minor pattern 3 which I have ignored.

Pathologist 8 GS 4+4=8 (ISUP 4) Typical
Pathologist 9 GS 4+4=8 (ISUP 4) Borderline higher
Pathologist 10 GS 4+4=8 (ISUP 4) Typical

fused, large cribriform glands

Pathologist 11 GS 4+4=8 (ISUP 4) Typical
Pathologist 12 GS 4+4=8 (ISUP 4) Typical
Pathologist 13 GS 4+4=8 (ISUP 4) Typical

No definite pattern 5 (although a few foci are close)

Pathologist 14 GS 4+3=7 (ISUP 3) Typical
Pathologist 15 GS 4+4=8 (ISUP 4) Typical
Pathologist 16 GS 4+4=8 (ISUP 4) Typical
Pathologist 17 GS 4+4=8 (ISUP 4) Typical
Pathologist 18 GS 4+4=8 (ISUP 4) Typical
Pathologist 19 GS 4+4=8 (ISUP 4) Typical
Pathologist 20 GS 4+4=8 (ISUP 4) Typical

looks quite typical (at least I hope so)

Pathologist 21 GS 4+4=8 (ISUP 4) Typical
Pathologist 22 GS 4+4=8 (ISUP 4) Typical
Pathologist 23 GS 4+4=8 (ISUP 4) Borderline higher


Case description (by case creator):

Large cribriform sheets and also tightly packed poorly formed glands. Some seem to be solid nests or single cells but not convincing for GP5.