Case ID: 549

Publication date: 27 Aug, 2015

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

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

? poorly formed glands

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

Few slightly poorly formed glands but still a 3

Pathologist 8 GS 3+4=7 (ISUP 2) Typical
Pathologist 9 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 10 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 11 GS 3+3=6 (ISUP 1) Typical

atrophic G3

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

Approx.10% pattern 4

Pathologist 16 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 17 GS 3+4=7 (ISUP 2) Typical
Pathologist 18 GS 3+3=6 (ISUP 1) Borderline higher
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) Typical

would give comment on stroma

Pathologist 22 GS 3+3=6 (ISUP 1) Typical
Pathologist 23 GS 3+3=6 (ISUP 1) Borderline higher
Pathologist 24 GS 3+3=6 (ISUP 1) Borderline higher


Case description (by case creator):

Circumscribed cancer glands. Occasional seemingly solid strips of epithelium that may be tangential cuts.