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The aim of this contribution was to review the major updates and recommendations regarding the GPs and GSs, as well as the GGs, trying to give an answer to the following questions "How has the grade group system been used in the routine?" and "will the Gleason scoring system be replace by the grade groups?" We also discussed the potential implementation in the future of molecular pathology and artificial intelligence in grading to further define risk groups in patients with PCa.Over the last few years efficacy of immunotherapy using immune checkpoint inhibi