Case ID: 774

Publication date: 28 Aug, 2015

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

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

Glomeruloid is 3+3.First description was grade 3, NOT grade 4-- WHO 2015 is wrong, but the dominant voice at the meeting always gets his way, right?

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

mostly discrete glands, one glomeruloid feature, still compatible with G3

Pathologist 8 GS 3+4=7 (ISUP 2) Typical
Pathologist 9 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 10 GS 3+4=7 (ISUP 2) Typical
Pathologist 11 GS 4+3=7 (ISUP 3) Borderline higher
Pathologist 12 GS 3+4=7 (ISUP 2) Typical
Pathologist 13 GS 4+3=7 (ISUP 3) Typical

75% pattern 4

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

The 2nd HP image is not represented in the 1st LP image?

Pathologist 19 GS 3+4=7 (ISUP 2) Typical
Pathologist 20 GS 3+4=7 (ISUP 2) Typical
Pathologist 21 GS 3+4=7 (ISUP 2) Borderline higher

Am reluctant to upgrade on such limited foci. Are the last 2 pics same area in different levels?

Pathologist 22 GS 3+4=7 (ISUP 2) Typical

annoying ase, does not look too bad, but lots of glomeruloid aspects...

Pathologist 23 GS 4+3=7 (ISUP 3) Typical
Pathologist 24 GS 3+4=7 (ISUP 2) Typical


Case description (by case creator):

Most of the cancer is GP3 but there are also some glomeruloid bodies justifying GP4. The two 20x fields are from two adjacent sections of the same biopsy, in order to verify that it is not a tangential cut.