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How should I interpret a Gleason 7 prostate cancer (4+3 or 3+4) with tertiary grade 5?

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Radiation Oncology · Varian Medical Systems/Allegheny health network

The scoring system adopted by 2005 International Society of Urological Pathology (ISUP) Consensus Conference on Gleason Grading of Prostatic Carcinoma specified that in a prostate biopsy, the two numbers should be the primary pattern and the highest grade (not the second most common type as was done...

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