Case ID: 643

Publication date: 27 Aug, 2015

Consensus grade: GS 3+3=6 (ISUP 1)

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

Almost 3+4

Pathologist 6 GS 3+3=6 (ISUP 1) Typical
Pathologist 7 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 8 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 9 GS 3+3=6 (ISUP 1) Typical

infiltrative discrete glands

Pathologist 10 GS 3+3=6 (ISUP 1) Typical
Pathologist 11 GS 3+3=6 (ISUP 1) Typical
Pathologist 12 GS 3+3=6 (ISUP 1) Typical
Pathologist 13 GS 3+4=7 (ISUP 2) Borderline higher

Approx. 5% pattern 4

Pathologist 14 GS 3+3=6 (ISUP 1) Typical
Pathologist 15 GS 3+4=7 (ISUP 2) Typical
Pathologist 16 GS 3+3=6 (ISUP 1) Typical
Pathologist 17 GS 3+3=6 (ISUP 1) Typical
Pathologist 18 GS 3+3=6 (ISUP 1) Typical
Pathologist 19 GS 3+3=6 (ISUP 1) Typical
Pathologist 20 GS 3+3=6 (ISUP 1) Typical

there are a few ill formeed glands, but according to Chicago, I would still remain on 6

Pathologist 21 GS 3+3=6 (ISUP 1) Typical
Pathologist 22 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 23 GS 3+3=6 (ISUP 1) Typical


Case description (by case creator):

Circumscribed glands. Occasional glands that look more solid but may be tangential cuts.