{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:43:55Z","timestamp":1792079035449,"version":"4.4.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["mp.uscap.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Modern Pathology"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.modpat.2026.101079","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T15:43:22Z","timestamp":1788795802000},"page":"101079","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Agreement Study of Stromal Cellularity, Stromal Cell Atypia, and Tumor Border of Phyllodes Tumors of the Breast"],"prefix":"10.1016","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0995-1721","authenticated-orcid":false,"given":"Xiaoxian","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulin","family":"Haw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jabed","family":"Iqbal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Salahuddin","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayeeda","family":"Yasmeen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanjun","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Eshraghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huina","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Ai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupma","family":"Nayak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahar","family":"Jalali Farahani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilin","family":"Rosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiying","family":"Zhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Buttars","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania","family":"Bakkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Schnitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edi","family":"Brogi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Allison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C.","family":"Collins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysegul","family":"Sahin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalliopi P.","family":"Siziopikou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunn-Yi","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thaer","family":"Khoury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.modpat.2026.101079_bib1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1038\/s41379-020-0583-3","article-title":"Fibroepithelial lesions revisited: implications for diagnosis and management","volume":"34","author":"Tan","year":"2021","journal-title":"Mod Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib2","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1053\/j.semdp.2017.05.006","article-title":"Fibroepithelial lesions; The WHO spectrum","volume":"34","author":"Krings","year":"2017","journal-title":"Semin Diagn Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib3","series-title":"WHO Classification of Tumours. Breast Tumours","year":"2019"},{"key":"10.1016\/j.modpat.2026.101079_bib4","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1097\/PAS.0000000000002109","article-title":"Comprehensive clinical-pathologic assessment of malignant phyllodes tumors: proposing refined diagnostic criteria","volume":"47","author":"Turashvili","year":"2023","journal-title":"Am J Surg Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib5","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1097\/PAS.0000000000002264","article-title":"Validation study of the newly proposed refined diagnostic criteria for malignant phyllodes tumor with 136 borderline and malignant phyllodes tumor cases","volume":"48","author":"Li","year":"2024","journal-title":"Am J Surg Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.modpat.2025.100812","article-title":"Proposing new criteria for classification of benign fibroepithelial lesions based on clinicopathologic evaluations of 507 cases with clinical outcome","volume":"38","author":"Anh Nguyen","year":"2025","journal-title":"Mod Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib7","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1111\/his.15455","article-title":"Malignant phyllodes tumours of the breast: the case for revising WHO\u2019s \u2018full house\u2019 diagnostic criteria","volume":"87","author":"Tan","year":"2025","journal-title":"Histopathology"},{"key":"10.1016\/j.modpat.2026.101079_bib8","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1136\/jclinpath-2011-200368","article-title":"Predicting clinical behaviour of breast phyllodes tumours: a nomogram based on histological criteria and surgical margins","volume":"65","author":"Tan","year":"2012","journal-title":"J Clin Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib9","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1177\/1066896914548763","article-title":"Interobserver variability by pathologists in the distinction between cellular fibroadenomas and phyllodes tumors","volume":"22","author":"Lawton","year":"2014","journal-title":"Int J Surg Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib10","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1111\/his.14397","article-title":"Diagnostic concordance of phyllodes tumour of the breast","volume":"79","author":"Rakha","year":"2021","journal-title":"Histopathology"},{"key":"10.1016\/j.modpat.2026.101079_bib11","doi-asserted-by":"crossref","first-page":"151708","DOI":"10.1016\/j.anndiagpath.2021.151708","article-title":"Benign and borderline phyllodes tumors of the breast: clinicopathologic analysis of 205 cases with emphasis on the surgical margin status and local recurrence rate","volume":"51","author":"Genco","year":"2021","journal-title":"Ann Diagn Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib12","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s10549-013-2684-x","article-title":"Analysis of phyllodes tumor recurrence according to the histologic grade","volume":"141","author":"Kim","year":"2013","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.modpat.2026.101079_bib13","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1200\/JCO.20.02647","article-title":"Contemporary multi-institutional cohort of 550 cases of phyllodes tumors (2007-2017) demonstrates a need for more individualized margin guidelines","volume":"39","author":"Rosenberger","year":"2021","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.modpat.2026.101079_bib14","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1038\/s41379-018-0032-8","article-title":"Fibroepithelial lesions of the breast: a comprehensive morphological and outcome analysis of a large series","volume":"31","author":"Slodkowska","year":"2018","journal-title":"Mod Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib15","first-page":"815","article-title":"Low interobserver agreement among subspecialised breast pathologists in evaluating HER2-low breast cancer","volume":"77","author":"Turashvili","year":"2024","journal-title":"J Clin Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib16","doi-asserted-by":"crossref","first-page":"100154","DOI":"10.1016\/j.modpat.2023.100154","article-title":"High interobserver variability among pathologists using combined positive score to evaluate PD-L1 expression in gastric, gastroesophageal junction, and esophageal adenocarcinoma","volume":"36","author":"Robert","year":"2023","journal-title":"Mod Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib17","doi-asserted-by":"crossref","first-page":"100944","DOI":"10.1016\/j.modpat.2025.100944","article-title":"Agreement across 10 artificial intelligence models in assessing human epidermal growth factor receptor 2 (HER2) expression in breast cancer whole-slide images","volume":"39","author":"McKelvey","year":"2026","journal-title":"Mod Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib18","first-page":"047501","article-title":"Pilot study to evaluate tools to collect pathologist annotations for validating machine learning algorithms","volume":"9","author":"Elfer","year":"2022","journal-title":"J Med Imaging (Bellingham)"},{"key":"10.1016\/j.modpat.2026.101079_bib19","doi-asserted-by":"crossref","first-page":"2467","DOI":"10.3390\/cancers14102467","article-title":"Development of training materials for pathologists to provide machine learning validation data of tumor-infiltrating lymphocytes in breast cancer","volume":"14","author":"Garcia","year":"2022","journal-title":"Cancers (Basel)"},{"key":"10.1016\/j.modpat.2026.101079_bib20","doi-asserted-by":"crossref","first-page":"100411","DOI":"10.1016\/j.jpi.2024.100411","article-title":"Prioritizing cases from a multi-institutional cohort for a dataset of pathologist annotations","volume":"16","author":"Garcia","year":"2025","journal-title":"J Pathol Inform"},{"key":"10.1016\/j.modpat.2026.101079_bib21","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1002\/path.6208","article-title":"Initial interactions with the FDA on developing a validation dataset as a medical device development tool","volume":"261","author":"Hart","year":"2023","journal-title":"J Pathol"},{"key":"10.1016\/j.modpat.2026.101079_bib22","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1111\/his.15140","article-title":"Training pathologists to assess stromal tumour-infiltrating lymphocytes in breast cancer synergises efforts in clinical care and scientific research","volume":"84","author":"Ly","year":"2024","journal-title":"Histopathology"}],"container-title":["Modern Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0893395226001225?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0893395226001225?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:45:20Z","timestamp":1792075520000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0893395226001225"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":22,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0893395226001225"],"URL":"https:\/\/doi.org\/10.1016\/j.modpat.2026.101079","relation":{},"ISSN":["0893-3952"],"issn-type":[{"value":"0893-3952","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"An Agreement Study of Stromal Cellularity, Stromal Cell Atypia, and Tumor Border of Phyllodes Tumors of the Breast","name":"articletitle","label":"Article Title"},{"value":"Modern Pathology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.modpat.2026.101079","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 United States & Canadian Academy of Pathology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"101079"}}