Gleason Scoring Rules for Prostate Cancer

Primary Structure Type Grading

Please Select

Primary Structure Type Grading

Very similar to normal prostate. Glands are small, well-structured, tightly packed

Increased stroma, well-formed glands but larger, with more tissue in between

Recognizable glands, but cells are darker. Some cells have left the glands and begun to invade surrounding tissues or show an infiltrative pattern

Almost no recognizable glands. Many cells invade surrounding tissues in clusters

Very few or no recognizable glands. Typically, sheets of cells spread through surrounding tissues

Secondary Structure Grading

Please Select

Secondary Structure Grading

Very similar to normal prostate. Glands are small, well-structured, tightly packed

Increased stroma, well-formed glands but larger, with more tissue in between

Recognizable glands, but cells are darker. Some cells have left the glands and begun to invade surrounding tissues or show an infiltrative pattern

Almost no recognizable glands. Many cells invade surrounding tissues in clusters

Very few or no recognizable glands. Typically, sheets of cells spread through surrounding tissues

Tertiary Structure Type Grading

Please Select

Tertiary Structure Type Grading

Very similar to normal prostate. Glands are small, well-structured, tightly packed

Increased stroma, well-formed glands but larger, with more tissue in between

Recognizable glands, but cells are darker. Some cells have left the glands and begun to invade surrounding tissues or show an infiltrative pattern

Almost no recognizable glands. Many cells invade surrounding tissues in clusters

Very few or no recognizable glands. Typically, sheets of cells spread through surrounding tissues