Bloom-Richardson grade

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Bloom-Richardson grade

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Overview

The Bloom-Richardson grade (BR grade) is a a histologic grade assigned by pathologists to breast cancers. It is the most common type of cancer grade system currently used. It is a semi-quantitative grading method based on three morphologic features of invasive breast cancers. The morphologic features that are used are:

  1. degree of tumor tubule formation (percentage of cancer composed of tubular structures)
  2. tumor mitotic activity (rate of cell division)
  3. nuclear pleomorphism of tumor cells (nuclear grade, change in cell size and uniformity)

Each of these features is assigned a score ranging from 1 to 3. The scores are then added together for a final sum that will range between 3 to 9. This value is then used to grade the tumor as follows :

  • 3-5 Grade 1 tumor (well-differentiated).
  • 6-7 Grade 2 tumor (moderately-differentiated).
  • 8-9 Grade 3 tumor (poorly-differentiated).

References

  • Bloom H, Richardson W (1957). "Histological grading and prognosis in breast cancer; a study of 1409 cases of which 359 have been followed for 15 years.". Br J Cancer 11 (3): 359-77. PMID 13499785.

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Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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