Ah, I probably mixed you up with someone else's reply about cancer on a lymph node. In that case, as far as I understand, there is a very good chance (but no guarantee) that your cancer can be cured via surgery or radiation — the overall survival is about the same for both, though numbers like that tend to be based on old data.

As for whether it's safe to wait, that's outside my experience. I was already stage 4 when they discovered my cancer, so waiting was never one of the options on the table.

Best of luck, whatever you decide.

p.s. The side effects are *not* worse than the disease if it progresses, at least not in my experience. I'd happily double or quadruple my current side effects from ADT, ARSI, and radiation rather than repeat what I went through after they discovered the metastasis on my spine. YMMV.