The PIRADS 5 Is just a warning that there may be prostate cancer, Sometimes it isn’t actually found on a biopsy. You had a biopsy, which showed what’s really going on.

If seminal vesicle invasion shows up that would change you to a pT3b. It doesn’t look like they considered that a problem.

If it’s large cribriform than you really have an aggressive case and the reason why your Decipher score was so high. At the UCSF meeting, they said if you have large cribriform That adds a five to your Gleason score.

Recent studies have shown that if somebody has large cribriform It is better to have radiation plus ADT rather than have surgery.

Things to talk to your doctor about.