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In view of the latter fact together with the apparent superior predictive value of the two-tiered mitotic index cutoff and its simplicity over a three-tiered mitotic rate grouping, we chose the prognostically significant two tiered cut off at 5 mitoses/10 HPFs to construct our proposed grading system

This means that you cannot report the two codes together if you performed them during the same 15-minute time interval

Nature 266(5604):730732

Others call it a nightmare
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