Dataset Modification of the Nuclear Pleomorphism.

ObjectiveTo improve prognostic assessments in breast cancer by evaluating the efficacy of the modified Nottingham grading system, specifically focusing on nuclear pleomorphism through measurements of largest nuclear size (LNS) and nuclear size difference (NSD).MethodsThis cross-sectional study involved 140 invasive breast cancer cases at Hospital Universiti Sains Malaysia. The study consisted of two phases: Phase 1, which developed nuclear scoring criteria using histopathological images from 2013–2017, and Phase 2, which validated these criteria on cases from 2018–2019. Two sets of samples were included for the study, with 120 cases analyzed in Phase 1 and 53 cases in Phase 2. Descriptive statistics and normality tests assessed differences in LNS and NSD across original nuclear grades.ResultsSignificant differences were found in LNS and NSD across original nuclear grades (p ConclusionIncorporating LNS and NSD into the assessment of nuclear pleomorphism shows potential to improve objectivity in breast cancer grading. However, further validation using larger datasets and automated image analysis is necessary to refine this approach and assess its clinical applicability..