I think you made a great case for taking the decipher test. If it comes back low risk with a Gleason 6 AS may be a viable option combined with closely monitoring PSA and watching for doubling time. If the decipher test comes back with a score consistent with high-risk disease however, further investigation and perhaps even a repeat biopsy might be appropriate. You make a valid argument that there is debate whether Gleason six qualifies as cancer, however some studies indicate that many pathology reports often reveal higher Gleason scores than biopsies, even the best Fusion biopsies available today.

I hope you continue to well on your journey with PCa!