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J Clin Pathol 56:363-367 doi:10.1136/jcp.56.5.363
  • Original article

Frequent occurrence of low grade cases among metastatic gastrointestinal stromal tumours

Table 3

Histological parameters and grading according to the different systems

Case Phenotype Mitosis Atypia Necrosis Grade20 Grade19 Grade23 Risk24 Ki-67
Mitosis refers to the number of mitoses in 30 high power fields (×400 magnification). Atypia: –, no atypia; +, atypia in less than 50% of the tumour cells. Necrosis: –, no necrosis; +, less than 50% of the tumour is necrotic. Grade20, 19, 23 : grading according to the FNCLCC system; GI, GII, and GIII corresponds to grade I, II, and III (scores for atypia, necrosis, and mitosis, respectively)20,22. Grading according to Newman and colleagues19 and de Saint Aubain Somerhausen and colleagues23 : M, malignant. Risk assessment according to Fletcher and colleagues24 : H, high risk of malignant behaviour. Ki-67 represents the number of positive nuclei/1000 cells expressed as a percentage.
2 Spindle 9/30 + GI (2+1+2) M M H 4%
3 Spindle 171/30 + + GIII (2+2+4) M M H 44%
5 Epithelioid 8/30 + GI (2+1+2) M M H 10%
6 Epithelioid 30/30 + GII (2+1+3) M M H 15%
14 Spindle 10/30 + GI (2+1+2) M M H 16%
20 Spindle 45/30 + + GIII (2+2+4) M M H 30%
22 Mixed 15/30 + + GII (2+3+2) M M H 15%

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