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Richtlijn Niercelcarcinoom

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Tabel 3.1 Fuhrman Graderings Systeem.<br />

Graad Frequentie<br />

(%)<br />

Definitie<br />

Graad 1 10-15 Ronde, uniforme kernen, diameter ± 10 µm, met kleine of afwezige<br />

nucleoli.<br />

Graad 2 35-55 Gering irregulaire contouren van de kern, diameter ± 15 µm,<br />

nucleoli zichtbaar bij 400x.<br />

Graad 3 25-35 Matig tot sterk irregulaire kerncontouren, diameter ± 20 µm, met<br />

grote nucleoli zichtbaar bij 100x.<br />

Graad 4 5-15 Als graad 3, maar ook multilobulaire of bizarre polymorfe kernen<br />

met irregulair chromatine.<br />

Ref.: Fuhrman 1982<br />

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884-890<br />

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2003; 62[4], 641-646.<br />

Lau WK, Cheville JC, Blute ML, Weaver AL, Zincke H. Prognostic features of pathologic<br />

stage T1 renal cell carcinoma after radical nephrectomy. Urology 2002; 59[4], 532-537<br />

Leibovich BC, Blute ML, Cheville JC, Lohse CM, Frank I, Kwon ED, et al. Prediction of<br />

progression after radical nephrectomy for patients with clear cell renal cell carcinoma: a<br />

stratification tool for prospective clinical trials. Cancer 2003; 97[7], 1663-1671<br />

Leibovich BC, Han KR, Bui MH, Pantuck AJ, Dorey FJ, Figlin RA, et al. Scoring algorithm to<br />

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40

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