Case ID: 207

Publication date: 03 Jun, 2015

Consensus grade: GS 3+3=6 (ISUP 1)

User Diagnosis Difficulty Comment
Pathologist 1 GS 3+3=6 (ISUP 1) Borderline lower
Pathologist 2 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 3 GS 3+3=6 (ISUP 1) Typical
Pathologist 4 GS 3+3=6 (ISUP 1) Typical

A couple of tangentially cut glands - not enough for pattern 4

Pathologist 5 GS 3+3=6 (ISUP 1) Typical
Pathologist 6 GS 3+3=6 (ISUP 1) Typical

gland are still well recognizable

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

? tangential sectioning re: possible pattern 4 - would look at 3 levels through the block before deciding 3+3 vs 3+4 in my actual practice work

Pathologist 10 GS 3+3=6 (ISUP 1) Typical
Pathologist 11 GS 3+4=7 (ISUP 2) Typical
Pathologist 12 GS 3+3=6 (ISUP 1) Typical
Pathologist 13 GS 3+4=7 (ISUP 2) Borderline higher
Pathologist 14 GS 3+3=6 (ISUP 1) Typical
Pathologist 15 GS 3+3=6 (ISUP 1) Typical
Pathologist 16 GS 3+4=7 (ISUP 2) Borderline higher

Many small glands with well-formed lumens but also several lumenless ones some areas.

Pathologist 17 GS 3+4=7 (ISUP 2) Borderline lower

Mainly single separate well-formed glands. A few poorly formed glands

Pathologist 18 GS 3+3=6 (ISUP 1) Typical
Pathologist 19 GS 3+4=7 (ISUP 2) Typical
Pathologist 20 GS 3+4=7 (ISUP 2) Borderline higher
Pathologist 21 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 22 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 23 GS 3+4=7 (ISUP 2) Borderline lower
Pathologist 24 GS 3+3=6 (ISUP 1) Borderline higher


Case description (by case creator):

3+3=6 with some nests but not enough for poorly formed glands in 3+4=7.