Case ID: 1378

Publication date: 05 Feb, 2016

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

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

Not sure but I have a hunch this case is treated with hormone

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

The H&E makes separating glands and nuclei from the stroma adding to the uncertainty

Pathologist 6 GS 3+4=7 (ISUP 2) Typical
Pathologist 7 GS 4+3=7 (ISUP 3) Borderline higher
Pathologist 8 GS 3+4=7 (ISUP 2) Typical
Pathologist 9 GS 3+4=7 (ISUP 2) Typical

"Stromogenic"

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
Pathologist 13 GS 3+4=7 (ISUP 2) Typical
Pathologist 14 GS 4+3=7 (ISUP 3) Borderline lower
Pathologist 15 GS 3+4=7 (ISUP 2) Borderline higher
Pathologist 16 GS 3+4=7 (ISUP 2) Typical
Pathologist 17 GS 4+3=7 (ISUP 3) Typical
Pathologist 18 GS 4+3=7 (ISUP 3) Borderline higher
Pathologist 19 GS 3+4=7 (ISUP 2) Borderline lower

3+4 versus 4+3. Single separate glands plus fused and poorly-formed

Pathologist 20 GS 4+3=7 (ISUP 3) Typical
Pathologist 21 GS 4+3=7 (ISUP 3) Borderline lower
Pathologist 22 GS 3+4=7 (ISUP 2) Typical
Pathologist 23 GS 3+4=7 (ISUP 2) Typical


Case description (by case creator):