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DiscussionWhy are urologists dismissive about Decipher?
Prostate Cancer | Last Active: Nov 18, 2025 | Replies (77)Comment receiving replies
Replies to "Sorry, I dont agree with your doc- I am a 3+4 and my oncologist highly recommended..."
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Gleason 3+4 is borderline (the lowest result they usually refer to as "cancer" these days) — that's where something like Decipher is most useful, as a sort-of tie-breaker vote for choosing between more or less intervention.
As @jeffmarc mentioned, once you're up to Gleason 8 or 9 ( or actually metastasised), there's no longer any doubt that the cancer is serious and needs major intervention, with or without a Decipher test.