Thank you for putting it into words what amounts to a very accurate description of prostate cancer. I think about how little is known about the disease and the lack of information to guide you. Especially if you are on the less obvious side, favorable cancer, like a 3+4. What does PSA really tell you if some people have a PSA of 4 with unfavorable cancer, while others have a PSA of 8 with favorable cancer. Say you have multiple biopsies, with one 3+4. Is that little amount of Gleason 4 worth the pain of surgery or radiation? Most Dr's would say yes. And your prostate is 40-50 cm. The biopsy needle is only 1.2 mm diameter. You would need 400+ biopsy needles to cover the entire prostate area. Can you ever understand the amount of cancer in your prostate through biopsies? So you decide to go the path of least resistance with the hope that you are extending your life, when in reality, you may have died naturally with the cancer. The real kicker is that as you stated, most advice from the doctors is biased based on their speciality, leaving it up to you, the amateur, to decide how to move forward because there is no definitive path due to lack of concrete knowledge of prostate cancer.