 Gleason 4 Gleason pattern 4 glands are no longer single/separated glands like those seen in pattern 1-3.
<fluency>  Gleason 4 Gleason pattern 4 glands are no longer single/separated glands like those seen in pattern 1-3.
 Gleason 4 Gleason pattern 4 glands are no longer single/separated glands like those seen in patterns 1-3.