Revise casos clínicos com
pontuação aprovada consensualmente
Casos clínicos de câncer de mama desafiadores, pontuação aprovada consensualmente pelo corpo docente de patologia, com apresentação de imagens de lâmina completa (WSIs) e resumos de interpretação.
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Qual pontuação de IHQ do HER2 você atribuiria a esta lâmina?
Sua pontuação de IHQ do HER2 selecionada está alinhada com a pontuação aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 0
This is a challenging case where about 10% of tumor cells display a faint/barely perceptible incomplete membranous staining. In such borderline cases, screening the slide multiple times from low (4X) to high magnification (20X-40X) is needed.
As this tumor has a poorly differentiated morphology, repeating the IHC on a different specimen, such as an excision, might be considered. A larger tissue sample from high-grade tumors might show a different IHC result from the one obtained from a tissue biopsy.
Sua pontuação da IHQ do HER2 selecionada não está alinhada com a análise aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 0
This is a challenging case where about 10% of tumor cells display a faint/barely perceptible incomplete membranous staining. In such borderline cases, screening the slide multiple times from low (4X) to high magnification (20X-40X) is needed.
As this tumor has a poorly differentiated morphology, repeating the IHC on a different specimen, such as an excision, might be considered. A larger tissue sample from high-grade tumors might show a different IHC result from the one obtained from a tissue biopsy.
Sua pontuação de IHQ do HER2 selecionada está alinhada com a pontuação aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 0
Less than 10% of tumor cells display a faint/barely perceptible and mainly incomplete membranous staining. This case could be challenging since the specifically stained tumor cells are scattered while multiple tumor cells only present a non-specific basal staining.
Sua pontuação da IHQ do HER2 selecionada não está alinhada com a análise aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 0
Less than 10% of tumor cells display a faint/barely perceptible and mainly incomplete membranous staining. This case could be challenging since the specifically stained tumor cells are scattered while multiple tumor cells only present a non-specific basal staining.
Sua pontuação de IHQ do HER2 selecionada está alinhada com a pontuação aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 0
This is an interesting case where several tumor cells exhibit a faint and rarely moderate incomplete membranous staining. However, when carefully examined, the percentage of these stained tumor cells is less than 10%.
The strong staining intensity might create a false impression of a higher number of stained tumor cells.
Sua pontuação da IHQ do HER2 selecionada não está alinhada com a análise aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 0
This is an interesting case where several tumor cells exhibit a faint and rarely moderate incomplete membranous staining. However, when carefully examined, the percentage of these stained tumor cells is less than 10%.
The strong staining intensity might create a false impression of a higher number of stained tumor cells.
Sua pontuação de IHQ do HER2 selecionada está alinhada com a pontuação aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 2+
This is an interesting case where more than 10% of tumor cells display a moderate to strong incomplete basolateral or lateral membranous staining. The faint staining might mislead some to score this case 1+.
Sua pontuação da IHQ do HER2 selecionada não está alinhada com a análise aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 2+
This is an interesting case where more than 10% of tumor cells display a moderate to strong incomplete basolateral or lateral membranous staining. The faint staining might mislead some to score this case 1+.
Sua pontuação de IHQ do HER2 selecionada está alinhada com a pontuação aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 1+
This an interesting case with several tumor cells displaying a faint/barely perceptible and incomplete membranous staining while some are expressing a strong basolateral or lateral staining. The high intensity staining in less than 10% of tumor cells keeps this case at a lower score.
As this tumor has a poorly differentiated morphology and micropapillary features, repeating the IHC on a different specimen, such as an excision, might be considered. A larger tissue sample from high-grade tumors might show a different IHC result from the one obtained from a tissue biopsy.
Sua pontuação da IHQ do HER2 selecionada não está alinhada com a análise aprovada consensualmente fornecida pelo corpo docente de patologia.
Consensus score: 1+
This an interesting case with several tumor cells displaying a faint/barely perceptible and incomplete membranous staining while some are expressing a strong basolateral or lateral staining. The high intensity staining in less than 10% of tumor cells keeps this case at a lower score.
As this tumor has a poorly differentiated morphology and micropapillary features, repeating the IHC on a different specimen, such as an excision, might be considered. A larger tissue sample from high-grade tumors might show a different IHC result from the one obtained from a tissue biopsy.