Table 3

Histological parameters and grading according to the different systems

CasePhenotypeMitosisAtypiaNecrosisGrade20Grade19Grade23Risk24Ki-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.
2Spindle9/30+GI (2+1+2)MMH4%
3Spindle171/30++GIII (2+2+4)MMH44%
5Epithelioid8/30+GI (2+1+2)MMH10%
6Epithelioid30/30+GII (2+1+3)MMH15%
14Spindle10/30+GI (2+1+2)MMH16%
20Spindle45/30++GIII (2+2+4)MMH30%
22Mixed15/30++GII (2+3+2)MMH15%