Table 2.
Variable | Definition | Score | |
---|---|---|---|
Mesangial hypercellularity | <4 | Mesangial cells/mesangial area = 0 | M0 ≤ 0.5 |
4–5 | Mesangial cells/mesangial area = 1 | M1 > 0.5a | |
6–7 | Mesangial cells/mesangial area = 2 | ||
≧8 | Mesangial cells/mesangial area = 3 | ||
The mesangial hypercellularity score is the mean score for all glomeruli | |||
Segmental glomerulosclerosis | Any amount of the tuft involved in sclerosis, but not involving the whole tuft or the presence of an adhesion | S0—absent | |
S1—present | |||
Endocapillary hypercellularity | Hypercellularity due to increased number of cells within glomerular capillary lumina causing narrowing of the lumina | E0—absent | |
E1—present | |||
Tubular atrophy/interstitial fibrosis | Percentage of cortical area involved by the tubular atrophy or interstitial fibrosis, whichever is greater | T0—0–25 % | |
T1—26–50 % | |||
T2—>50 % |
aMesangial score should be assessed in periodic acid-Schiff-stained sections. If more than half the glomeruli have more than three cells in a mesangial area, this is categorized as M1. Therefore, a formal mesangial cell count is not always necessary to derive the mesangial score