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Gleason 5 + 3 = 8 Prostate Cancer: Much More like Gleason 9:

Mahal, B.A. ; Muralidhar, V. ; Dinh, K.T....
International Journal of Radiation Oncology*Biology*Physics.  93 (2015)  3 - p. E232-E233 , 2015
Link: https://doi.org/10.1016/j.ijrobp.2015.07.1133