Based on the information provided, you need more info in order to begin “desired treatment” decision-making.

1. Did MRI show any lesion(s)?

2. As others have asked, from the one positive core, how much was Gleason 3 and how much was Gleason 4?

3. You will want a Decipher or similar test performed on the biopsy.

4. Active Surveillence may be your best option, at this time. More info will guide this decision/option. Some of this may be: Genetic testing to test for BRCA or other inherited gene(s), 2nd opinion on initial biopsy (Dr Epstein or similar), and Decipher.

5. With the information you provided, I would not be ready to make a treatment decision.

6. https://ancan.org/prostate-cancer/ Join Ancan and particpate in either the Active Surveillence or Low/intermediate group. Lots of great support and information. You will be able to introduce yourself and provide information you have. You will get lots of recommendations and information.

Best Wishes.