Case ID: 1186

Publication date: 05 Feb, 2016

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

Focal tangential sectioning of small gland pattern 3, insufficient for cluster of poorly formed glands of pattern 4.

Pathologist 6 GS 3+3=6 (ISUP 1) Borderline lower

Have seen this case before

Pathologist 7 GS 3+3=6 (ISUP 1) Typical
Pathologist 8 GS 3+3=6 (ISUP 1) Typical
Pathologist 9 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 10 Other Typical

3+5=8

Pathologist 11 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 12 GS 3+4=7 (ISUP 2) Typical
Pathologist 13 GS 3+3=6 (ISUP 1) Typical
Pathologist 14 GS 3+4=7 (ISUP 2) Borderline higher

Again, retraction artifact

Pathologist 15 GS 3+4=7 (ISUP 2) Borderline lower
Pathologist 16 GS 3+3=6 (ISUP 1) Typical

This image was also used as the high power image in Case ID 1210 GK57

Pathologist 17 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 18 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 19 GS 3+4=7 (ISUP 2) Typical
Pathologist 20 GS 3+3=6 (ISUP 1) Typical

This is an exact repeat of a case that's numbered in the 60's or 70's.
Glands are all separate from each other. A few are tiny and are almost poorly-formed, but not quite.

Pathologist 21 GS 3+4=7 (ISUP 2) Borderline lower
Pathologist 22 GS 3+3=6 (ISUP 1) Typical
Pathologist 23 GS 3+3=6 (ISUP 1) Typical

but considering the nucleoli 3 couild be an option



Case description (by case creator):