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Table 1 Nottingham combined histologic grade (Zbytek et al., 2013)

From: Correlative study between ADC value and grading of invasive breast cancer

Score

Tubular formation

  1

More than 75% of the tumor has tubule formation

  2

10% to 75% of the tumor has tubule formation

  3

Less than 10% of the tumor has tubule formation

Score

Nuclear pleomorphism

  1

Nuclei are small and uniform in size and shape

  2

Nuclei are moderate in nuclear size and variation

  3

Nuclei have marked variation, are relatively large, and have prominent or multiple nucleoli

Score

Mitotic count (per 10 high-power fields)

  1

0–9 mitoses

  2

10–19 mitoses

  3

≥ 20 mitoses

Grade

Differentiation status

Total score

  1

Well-differentiated

3–5 points

  2

Moderately differentiated

6–7 points

  3

Poorly differentiated

8–9 points