Table 2.
Criteria | Score awarded a | |
---|---|---|
0 | 1 | |
Nuclear grade | I/II | III/IV |
Mitosis | ⩽5 per 50 HPF | >5 per 50 HPF |
Atypical mitoses | Absent | Present |
Clear cell component | ⩽25% of tumor | >25% of tumor |
Diffuse architecture | ⩽1/3 of tumor | >1/3 of tumor |
Confluent necrosis | Absent | Present |
Venous invasion | Absent | Present |
Sinusoidal invasion | Absent | Present |
Capsular invasion | Absent | Present |
A total score of >3 is suggestive of ACC.
uclear grading is based on the Fuhrman nuclear grading system used in renal cell carcinoma. 67
HPF, high power fields.