Case ID: 768
Publication date: 14 Apr, 2026
Consensus grade: GS 3+4=7 (ISUP 2)
Show diagnosis by expert panel members| User | Diagnosis | Difficulty | Comment |
|---|---|---|---|
| Pathologist 1 | GS 3+4=7 (ISUP 2) | Borderline lower |
enough poorly formed glands |
| Pathologist 2 | GS 3+4=7 (ISUP 2) | Borderline lower | |
| Pathologist 3 | GS 3+3=6 (ISUP 1) | Typical | |
| Pathologist 4 | GS 3+3=6 (ISUP 1) | Typical | |
| Pathologist 5 | GS 3+4=7 (ISUP 2) | Borderline lower | |
| Pathologist 6 | GS 3+4=7 (ISUP 2) | Borderline lower | |
| Pathologist 7 | GS 3+3=6 (ISUP 1) | Borderline higher |
mostly G3 |
| Pathologist 8 | GS 3+3=6 (ISUP 1) | Borderline higher |
difficult case |
| Pathologist 9 | GS 3+3=6 (ISUP 1) | Typical | |
| Pathologist 10 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 11 | GS 3+4=7 (ISUP 2) | Borderline higher | |
| Pathologist 12 | GS 3+4=7 (ISUP 2) | Borderline lower |
The issue here is threshold for the number of poorly formed acini required to call pattern 4. I would need to see at least 3 levels to be most confident in assigning a grade |
| Pathologist 13 | GS 3+4=7 (ISUP 2) | Typical |
5-10% pattern 4 |
| Pathologist 14 | GS 3+3=6 (ISUP 1) | Typical | |
| Pathologist 15 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 16 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 17 | GS 3+4=7 (ISUP 2) | Typical | |
| Pathologist 18 | GS 3+3=6 (ISUP 1) | Typical | |
| Pathologist 19 | GS 3+4=7 (ISUP 2) | Borderline lower | |
| Pathologist 20 | GS 3+4=7 (ISUP 2) | Borderline lower | |
| Pathologist 21 | GS 3+4=7 (ISUP 2) | Typical |
Poorly formed glands. "Single cells" interpreted as tangential sectioning. |
| Pathologist 22 | GS 3+3=6 (ISUP 1) | Typical |
give 6 without hesitation |
| Pathologist 23 | GS 3+4=7 (ISUP 2) | Borderline lower | |
| Pathologist 24 | GS 3+4=7 (ISUP 2) | Borderline lower |
Case description (by case creator):
Most of the tumor is GP3 but there are also some poorly formed glands.
