AJSPAmerican Journal of Surgical Pathology
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In Reply.--This letter by Delahunt et al is a rehash of a prior letter that was written to the American Journal of Surgical Pathology (AJSP).
(2) The original manuscript in 2013, the subsequent multi-institutional validation study, the AJSP publication on the 2014 ISUP grading conference, and the World Health Organization all avoid referring to the new grading system as ISUP grades, but rather as grade groups 1 to 5.
As noted in the previous AJSP response, (1) "Several members of the 2014 organizing committee, instead of incorporating the issue of tertiary patterns and the recommendation to report the percentage of pattern 4 in the 2014 consensus conference published in AJSP in 2016, as I recommended, argued to split these topics into an additional manuscript.