@mspotter1956

I have attached a pdf file which is a list of prostate cancer research items, with descriptions I collected over time. I think they might be helpful sources to you.

I had a Gleason 3+4 and a psa of 11.2 with the cancer confined to the prostate. I finished my radiation treatment in February 2023.

If you get radiation, please keep in mind that the margins used impact healthy tissue and therefore side effects. Margins refer to the additional area around the prostate that is treated. There are sometimes microcells that cannot be picked up with imaging so many times radiation treats the entire prostate plus a margin. I had the Mridian radiation machine with 2 mm margins, vs 3-5mm for most other machines. It has real-time built-in MRI which is a big deal in the industry. You might want to ask your doctor about margins and real-time MRI imaging radiation machines versus fused images.

The decipher test, as j76 mentioned, can change a treatment recommendation and is worth getting. They will use material from your biopsy.

Remember that doctors are dedicated but not infallible, even at centers of excellence, though I agree with posters recommendations in this regard. Keep coming back to this site as much as you can. Many times, you will get the nitty gritty here that doctors may or may not discuss with you. Sometimes it can seem overwhelming, but everybody here wants to help. One day at a time.