@stldadof4
Since there is only one 3+4 you need to find out some information.

What percentage of that core had a tumor? What percentage of that core was a 4? If the percentages are very low, And the percentage of four is 5% or 10% Then active surveillance could be a possibility. There is a lot of controversy over over treating people with very low amounts of prostate cancer. In some cases, it is recommended using active surveillance instead of treatment.

Were any of these things found in the biopsy intraductal, cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive and would usually mean you need treatment, not active surveillance.

Good to hear you’re thinking about getting a second opinion and a decipher score. They can really narrow down what treatment you should have and how soon.