Yes ductal is very aggressive, You don’t mention your Gleason score and that can be a factor in aggressiveness as well. After listening to people with new cases of prostate cancer weekly for four years I have never heard someone say they have ductal cancer, definitely rare. Lots of intraductal, not one case of ductal.

Having surgery removes the ductal cancer, but the chances are you will have reoccurrence if you don’t do more treatment, like hormone therapy. That will give you the best chance of avoiding reoccurrence.