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. Author manuscript; available in PMC: 2025 May 1.
Published in final edited form as: Int J Gynecol Pathol. 2023 Nov 9;43(3):203–214. doi: 10.1097/PGP.0000000000000979

Table 2:

Jesinghaus grading system

Grade Number of buds* Size of buds Novel grade score**
1 0 >15 tumor cells (large) 2–3 score: grade 1 (G1, well differentiated)
2 1–14 5–15 tumor cells (intermediate) 4–5 score: grade 2 (G2, moderately differentiated)
3 >15 2–4 tumor cells (small) 6–7 score: grade 3 (G3, poorly differentiated)
4 - single tumor cell detached within the stroma
*

The number of buds are determined in the highest budding activity (hotspot), in 10 high-power fields (HPFs)

**

The sum of tumor budding and cell cluster size score generates a final grading score ranging from 2 to 7