Heterogeneity of risk within Gleason 4 + 4, 4 + 5 and 5 + 4 prostate cancer.
Marco MoschiniVidit SharmaMatteo SoligoSarah PsutkaLaureano RangelStephen A BoorjianIgor FrankMatthew T GettmanR Houston ThompsonMatthew K TollefsonR Jeffrey KarnesPublished in: Scandinavian journal of urology (2019)
B.G.S. 9 and specifically pattern 5 + 4 P.Ca. is associated with substantial disease burden, adverse pathological features and the presence of locally advanced disease, in addition to inferior survival outcomes in comparison to b.G.S. 4 + 4 disease. Distinction of b.G.S. 9 patients from b.G.S. 8 patients at diagnosis may permit more precise pre-treatment risk stratification.