TM91, I agree that a Decipher test is a good idea…but I also wonder if there is anything called “non aggressive Gleason 9” based on a Decipher score.
You have a very aggressive cancer to begin with - a low Decipher score doesn’t mean much. In fact, I’d be willing to bet that there’s no such animal as a Gleason 9 with a LOW chance for metastasis.
Not disputing the value of a Decipher but it’s a real game changer in Intermediate Grade 7, in which 3+4’s and 4+3’s may or may not need ADT depending on the Decipher.
You, unfortunately, are two grades above that and ADT is a necessity IMO.