Case ID: 923
Publication date: 04 Dec, 2015
Consensus grade: GS 3+4=7 (ISUP 2)
Show diagnosis by expert panel members| 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) | Typical | |
| Pathologist 4 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 5 | GS 3+4=7 (ISUP 2) | Borderline lower |
? IDC-P - IHC unclear |
| Pathologist 6 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 7 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 8 | GS 3+4=7 (ISUP 2) | Borderline lower |
IDc component? |
| Pathologist 9 | GS 3+4=7 (ISUP 2) | Typical |
this case is probably higher risk than graded |
| 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 |
Without IHC this is easier! The cribriform gland looks invasive but surprisingly has basal cells. In such cases I will do anything I can to interpret the invasive component as GP4 even if strictly speaking only borderline. |
| Pathologist 13 | GS 3+4=7 (ISUP 2) | Borderline higher |
I would repeat the IHC and (if basal cell are positive) make a comment on IDC-P |
| Pathologist 14 | GS 3+4=7 (ISUP 2) | Borderline higher | |
| Pathologist 15 | GS 3+4=7 (ISUP 2) | Typical |
more 3 than 4, one huge cribriform |
| Pathologist 16 | GS 3+4=7 (ISUP 2) | Borderline higher | |
| Pathologist 17 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 18 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 19 | GS 3+4=7 (ISUP 2) | Borderline higher |
Cribriform component seems invasive. |
Case description (by case creator):
Cribriform structure
