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. 2025 Jun 2;25:147. doi: 10.1186/s12894-025-01816-5

Table 4.

Four-tier Classification System for chRCC by Avulova et al. with Cancer-Specific Survival (CSS) for 5 and 10 Years According to Liu et al

Grade Characteristics 5-Year CSS 10-Yeat CSS
1 Wide nuclear spacing, no nuclear crowding or diffuse atypia present, with or without coagulative necrosis 100,0% 98,8%
2 Nuclear crowding with high nucleus/cytoplasm density, as well as contacts between nuclei, and the presence of atypical cells (at least threefold differences in nuclear size with irregular chromatin) without coagulative necrosis 91,4% 91,4%
3 Nuclear crowding (high nucleus/cytoplasm density, as well as contacts between nuclei) and the presence of atypical cells (at least threefold differences in nuclear size with irregular chromatin) with coagulative necrosis 82,1% 82,1%
4 Sarcomatoid dedifferentiation or anaplasia 37,5% 0,0%

CSS Cancer-specific survival