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Table 1 Miller–Payne grading system

From: MRI-based tumor shrinkage patterns after early neoadjuvant therapy in breast cancer: correlation with molecular subtypes and pathological response after therapy

Miller–Payne grading

Explanation

Grade 1

No change or some alteration to individual malignant cells but no reduction in overall cellularity

Grade 2

A minor loss of tumor cells but overall cellularity still high; up to 30% loss

Grade 3

Between an estimated 30% and 90% reduction in tumor cells

Grade 4

A marked disappearance of tumor cells such that only small clusters or widely dispersed individual cells remain; more than 90% loss of tumor cells

Grade 5

No malignant cells identifiable in sections from the site of the tumor; only vascular fibroelastotic stroma remains often containing macrophages. However, ductal carcinoma in situ (DCIS) may be present