Surgery or Radiation if large cribriform found in biopsy?

Fascinating discussion. Thanks to all who participated. Cribiform is being acknowledged as an independent risk factor but there sure doesn't seem to be consensus on what that means. My read to date is that it is a risk not fully captured by the Gleason scale so those of us that have this variant must be vigilant in asking these questions and pressing on whether standard treatment protocols are sufficient. It also occurred to me that I don't know if I have/ had large or small cribiform and I am not sure I need to know since I originally had surgery and now am on ADT after salvage radiation. Best wishes to all. Dave

@wheel1 Thanks - Dr. Sprenkle, my doc was one the first to use it at Yale. He showed me just why on my MRI my anatomy may not be amenable to the surgery. When I met him, I told him if it comes to that - "take it out". I appreciate an honest practitioner. Right now, both Yale and Hartford Health Care (Joseph Wagner, who's done the most RP's in the state of CT) advised that I'm intermediate, favorable risk. I'm still concerned, and that's why I'm here discussing this.

@dhasper
Are you done with RT 😃 ??? If yes CONGRATS ! I hope that you did not have any special irritation of the bladder or rectum 🍀 and are now just counting days till the end of ADT : ))) ! You got only 4 mos of it - right ? You must be really relieved and happy to now embrace all summer fun that is ahead of you : ))) !
Don't forget all of us here ; ) !!! lol

@dacaesar
You have really competent and caring doctors, there is no doubt about it 👍😃 ! You are in good hands and it is a blessing : ))).

Wishing you great results with whatever path you choose 🍀 : ))) !

@surftohealth88 Definitely one of the luckier people in the country with great insurance where I can choose to go wherever to get the best care. And being in RI, near centers of excellence doesn't hurt either!

Thanks!