I am close to the same boat as Doug - a classic "tweener". 70, good health, 5 psa, 3+5 Gleason, possible Interductal in biopsy. 6 of 12 cores positive. Would probably be low risk except my Decipher puts me at high risk. Havent found a surgeon or radiologist that wants to discuss pros and cons of each. ie start ADT now regardless, possible surgery + radiation. My family is all over me to make a decision! not sure where the Decipher score puts me in terms of best solution.

Like another post, i was originally all in for surgery, but now on the fence. A couple studies seem to show radiation better at "distant metastis". Should probably start ADT regardless, as months have ticked off as i try to figure out best course. Disapointed that Hopkins doesnt have the MRI guided radiation. More disaponted at lack of internal coordination at top shelf cancer programs. (hopkins, georgetown). any advice appreciated.