Table 1.

Histological morphology of tumors with H&E staining

Histologic Morphology
Grade 1 (low)Well differentiated: tumor mimics surrounding tissue morphology, gland formation, mucous production
Grade 2 (low)Moderate differentiation: gland formation decreased (50%–75%), some recapitulation of normal features
Grade 3 (high)Poorly differentiated: glands present but disorganized, decreased greatly; difficult to ascertain normal architecture
Grade 4 (high)Undifferentiated: parent tissue morphology no longer recognizable

Preliminary observation of the tumor using H&E staining may be useful in the designation of low- or high-grade tumor. Additional investigation, special stains, and immunohistochemistry are required for an in-depth examination of the tumor.