Hi douglasmayo - It appears that we’re in a similar place. I’m 68, also in pretty good shape, diagnosed with 3+3=6 grade group 1 in four of nine cores a few months ago. PSA had been increasing slowly over eight years from 2 to 5 but curiously just dropped to under 4 just a week ago. Was definitely considering active surveillance notwithstanding a strong family history of prostate cancer until my Decipher score came back a few weeks ago at a very high .78. Also just got back a few days ago another genomic test which indicated that I apparently don’t have the gene mutations (BRCA 1 and 2 and others) which can pose a real concern for aggressive and recurring prostate cancer. I would recommend that you learn as much as you can about prostate cancer in general and about the Decipher test in particular and, at the same time, get two or even three opinions from highly regarded doctors of different disciplines (surgeon, radiologist, etc.) at cancer centers of excellence if possible. Having disparity between your clinical markers (psa, images and biopsy) and your genomic results (Deciper and others) and deciding on how much emphasis to place on your Decipher score can be very stressful and confusing but knowledge is power.
Best of luck as you begin your journey and don’t hesitate to reach out should you want to connect and share notes.