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While the new Gleason grade grouping (GGG), which started in 2016, has been widely validated in prostate cancer, it does not incorporate the concept of tertiary Gleason pattern 5. Furthermore, no study has “quantified” the individual risk of each Gleason pattern, including tertiary Gleason pattern 5, after radical prostatectomy. | Quantification of the individual risk of each Gleason pattern including tertiary Gleason pattern 5 after radical prostatectomy Development of the modified Gleason grade grouping mGGG model