Your highest Gleason score was 4+3, so you are a Gleason seven 4+3. The other numbers don’t really matter as far as doctors are concerned.

A Gleason seven is slow growing, so waiting a month is not really a problem for most people. The fact that you’re going to Mayo, and at the Rochester clinic, gives you the best chance of really good treatment. The only problem you mentioned, from your biopsy, is cribriform. It can be very aggressive. You want to find out if it was large or small cribriform. If it’s small, then surgery can remove it pretty easily along with the prostate, And it’s also treatable with SBRT radiation. . If it’s large, it’s very aggressive and may require surgery and radiation Or a combination of a couple of different types of radiation. My brother had small cribriform, It was specifically mentioned in his biopsy. He had SBRT radiation and that seems to have handled all of his prostate cancer issues.

At this point, they normally want you to see a urologist first, And they will talk about surgery. After that, you meet with the radiation oncologist to discuss radiation. You do have two options. How old you are is important. If you are in your 60s, it might make more sense to have surgery since you could have radiation if that cribriform causes a problem after treatment. They do say that surgery and radiation have the same long-term results so you do have both options to consider. Listen to the doctor carefully when you go to them to find out what the best treatment would be for your specific case. Make sure to emphasize the cribriform As a potential serious problem.

It would make sense to get a Decipher score to see if there is a chance of reoccurrence. Cribriform can make that score higher, It would be really helpful to find out what your long-term chances are.