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