Table 1

A summary of the commonly used systems for assessing rectal tumour regression

Dworak et al 22
 GR 0No regression
 GR 1Dominant tumour mass with obvious fibrosis and/or vasculopathy
 GR 2Dominant fibrotic changes with few tumour cells or groups (easy to find)
 GR 3Very few (difficult to find microscopically) tumour cells in fibrotic tissue with or without mucous substance
 GR 4No tumour cells, only fibrotic mass
Rectal Cancer Regression Grading (RCRG) system
 RCRG 1Sterilisation or only microscopic foci of adenocarcinoma remaining, with marked fibrosis
 RCRG 2Marked fibrosis but macroscopic disease present
 RCRG 3Little or no fibrosis, with abundant macroscopic disease
RCPath dataset for colorectal cancer
 RCPath ANo residual tumour cells and/or mucus lakes only
 RCPath BMinimal residual tumour, that is, only occasional microscopic foci are identified with difficulty
 RCPath CNo marked regression
  • GR, grading of regression; RCPath, Royal College of Pathologists.