Case ID: 1390

Publication date: 04 Mar, 2016

Consensus grade: GS 9-10 (ISUP 5)

User Diagnosis Difficulty Comment
Pathologist 1 GS 9-10 (ISUP 5) Typical
Pathologist 2 GS 9-10 (ISUP 5) Typical
Pathologist 3 GS 9-10 (ISUP 5) Typical
Pathologist 4 GS 9-10 (ISUP 5) Typical
Pathologist 5 GS 9-10 (ISUP 5) Typical
Pathologist 6 GS 4+4=8 (ISUP 4) Borderline higher
Pathologist 7 GS 4+4=8 (ISUP 4) Typical
Pathologist 8 GS 9-10 (ISUP 5) Typical
Pathologist 9 GS 9-10 (ISUP 5) Typical

signet ring cell

Pathologist 10 GS 9-10 (ISUP 5) Typical
Pathologist 11 GS 9-10 (ISUP 5) Borderline lower
Pathologist 12 GS 9-10 (ISUP 5) Typical
Pathologist 13 GS 9-10 (ISUP 5) Typical
Pathologist 14 GS 9-10 (ISUP 5) Typical
Pathologist 15 GS 4+4=8 (ISUP 4) Borderline higher
Pathologist 16 GS 9-10 (ISUP 5) Typical
Pathologist 17 GS 9-10 (ISUP 5) Typical
Pathologist 18 GS 9-10 (ISUP 5) Typical

signet-like cells

Pathologist 19 GS 9-10 (ISUP 5) Typical
Pathologist 20 GS 9-10 (ISUP 5) Borderline higher

This could be 4+4 but I see some of what look like single cells.



Case description (by case creator):

Grade 4 with vacuoles versus grade 5