Understandable!
Beside providing where one stands according to a "Clinical-Genomic" risk model (critical information if considering active surveillance), the GRID report provides information regarding the specific tumor biology "signature" of your particular form of prostate cancer.
This "signature" information helps determine whether your particular cancer cells are more or less likely to progress or have a favorable outcome, after treatment.
Your gene expression profile is also assessed as to whether it exhibits any of the more aggressive "neuroendocrine-like" disease features.
Whether your tumor is a "luminal" or "basal" subtype (luminal having a more favorable prognosis) is also ascertained. The GRID report even breakdowns, if "luminal", whether it is "differentiated" or "proliferating"; which is a measure of how receptive it would be to androgen receptor inhibition (ADT)....and all this on page 1!
There is also much more complicated analyses. "Genomic Atlas", "Gene Expression" and where your cancer cells are located on a 'Gene Expression Matrix" heat map. Your doctor is probably hoping you don't ask what these mean... remember the "Research Only" caveat....
Finally, the report provides a list of clinical trials that are pertinent for your specific form of prostate cancer.
As I indicated in another follow-up post in this thread, this may be much more than someone is interested in knowing; but its your life we are talking about and, at the very least, you may want your trusted doctor(s) to have this information to help guide their recommendations as to what treatment(s) are likely to be the best in your specific situation.
If your doctor says this information doesn't matter regarding his treatment recommendation, then all I would say is that they probably practice a "one size fits all" kind of medicine.
If that's fine with you, then leave it at that.
IMHO the future is moving to more personalized PCa treatment options, that are based on the cancer cells that are removed from your own body....but that's just me....
Wow, thanks so much for this detailed information both in this reply and your earlier reply. Very kind of you to go to these lengths to answer our questions.
FWIW, I got halfway through the video explanation of the GRID report and closed out. Not sure if I will request the GRID or not at this point. Might be nice to have in my back pocket if things go south if it will help in treatment. But it may also drive me crazy in the meantime trying to play doctor and interpret this data for my health future.
Thanks again.