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From onto five the possible scores go from two to tunas mentioned on the previous slide however grades 1&2 are no longer reported by most pathologists so the score now goes from six to 10with sex being the least aggressive form 7 being intermediate and eight to 10 being the gmax most aggressive form of prostate cancer to further help you understand your biopsy report note the following: firstly both grades and the score are reported for example three-plus for Eagle 7 over10 or five plus four because nine over 10the first number reported called the primary grade is the most common pattern seen on the biopsy while the second number call the secondary grade is the less common pattern seen therefore a Gleason score four plus three equal 7 is actually considered more aggressive and three plus four equal 7 because the more common pattern on the biopsy is the higher grade pattern note also that sometimes a third number called the tertiary great is also reported for example if there's a tiny amount of high-grade cancer present in an otherwise lower-grade specimen putting it all together your doctor cause the clinical stage Gleason score and PSA level to rank your cancer as low medium or high-risk answer the slide shows.

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