What does Nottingham histologic grade 3 mean?
The Nottingham score and histologic grade are used to determine if radiation is used after surgery (lumpectomy or mastectomy). A high-grade (grade III) tumor is seen as a higher risk for recurrence and having radiation therapy reduces this risk.
What is the most common histological type of breast cancer?
Results. Ductal tumors, the most common histological type, accounted for 81.4% of all cases, followed by lobular tumors (6.3%) and unspecified carcinomas (5.5%). Other subtypes accounted for 0.4%-1.5% of the cases each. For all histological types, the proportions differed significantly by age at diagnoses.
What does high grade histology mean?
Listen to pronunciation. (hy grayd) A term used to describe cells and tissue that look abnormal under a microscope. High-grade cancer cells tend to grow and spread more quickly than low-grade cancer cells.
Can histology wrong?
Dr. Raab said that a detailed study of the effect of pathology errors by cytologic-histologic correlation has not been done, but others have estimated that 2.3% of cytologic specimens and 0.44% of surgical specimens were wrong, and that 23% of those errors had a significant effect on patient care.
What does glandular tubular differentiation score 3 mean?
A score of 1 means that more than 75% of the tumor area shows glandular or tubular structures consistent with normal breast tissue. A score of 2 indicates 10% to 75% glandular or tubular structures, and a score of 3 means less than 10% of glandular/tubular structures are present.
What does Nottingham Grade 1 mean?
Numbers are assigned to different features (gland formation, nuclear grade, and mitotic count) seen under the microscope and then added up to assign the grade. If the numbers add up to 3-5, the cancer is grade 1 (well differentiated). If they add up to 6 or 7, it means the cancer is grade 2 (moderately differentiated).
What is considered a high grade tumor?
Grade 3 tumors are considered high grade. Grade 4: These undifferentiated cancers have the most abnormal looking cells. These are the highest grade and typically grow and spread faster than lower grade tumors.
How accurate is histopathology?
Histology showed sensitivity of 90.2%, specificity of 100%, positive predictive value of 100%, negative predictive value of 81% and accuracy of 93.1%.