Case ID: 838

Publication date: 02 Sep, 2015

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

User Diagnosis Difficulty Comment
Pathologist 1 GS 4+3=7 (ISUP 3) Typical
Pathologist 2 GS 4+3=7 (ISUP 3) Typical
Pathologist 3 GS 4+3=7 (ISUP 3) Borderline higher
Pathologist 4 GS 4+4=8 (ISUP 4) Borderline lower
Pathologist 5 GS 4+3=7 (ISUP 3) Borderline higher

A few glands are HG-PIN

Pathologist 6 GS 4+3=7 (ISUP 3) Typical
Pathologist 7 GS 4+3=7 (ISUP 3) Typical
Pathologist 8 GS 4+3=7 (ISUP 3) Typical

Cribriform glands and a few discreet glands

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

difficult to assume the amount of Gleason pattern 4 and 3 by images

Pathologist 10 GS 4+3=7 (ISUP 3) Typical

lots of cribriform aspects, but still in my opinion some 3

Pathologist 11 GS 4+4=8 (ISUP 4) Borderline lower
Pathologist 12 GS 4+3=7 (ISUP 3) Typical
Pathologist 13 GS 4+3=7 (ISUP 3) Borderline higher
Pathologist 14 GS 4+4=8 (ISUP 4) Typical

Some pattern 3 but <5%. Some papillary formations but cytological features not right for ductal.

Pathologist 15 GS 9-10 (ISUP 5) Borderline lower
Pathologist 16 GS 4+3=7 (ISUP 3) Typical
Pathologist 17 GS 4+3=7 (ISUP 3) Typical
Pathologist 18 GS 4+3=7 (ISUP 3) Typical
Pathologist 19 GS 4+3=7 (ISUP 3) Borderline lower
Pathologist 20 GS 4+4=8 (ISUP 4) Typical
Pathologist 21 GS 4+3=7 (ISUP 3) Typical
Pathologist 22 GS 4+3=7 (ISUP 3) Typical
Pathologist 23 GS 4+3=7 (ISUP 3) Typical

probably some IDC

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


Case description (by case creator):

Large sheets of cribriform and fused glands. A minority component of discrete glands.