dear Hannah, the ki 67 test is a measure of how rapidly the tumor cell is dividing. With a special stain, a pathologist counts cancer cells that are in the active process of dividing. Like you I had a grade 3 in pathological score which looks at different aspects such as whether the cancer cells appear to be getting into blood vessels or lymphatic vessels, but I also fortunately had a low ki67 score. However, in my own circumstance, this did not result in a reduction of any treatment at all / we are all different and every little bit of information helps our treatment team to put together our unique profile and then work out. what’s the best process of treatment for each of us. Lots of love Tinks.