My next step is to meet with experts in all therapies that have been known to work best for men with my diagnosis of PNI and potential %pattern 4. Opinions and suggestion welcome.
1st opinion GS 3+4=7, NCCN Grade Group 2, favorable-intermediate risk group
highest %cancer: 50% %pattern 4: 8%
2nd opinion GS 3+3=6, NCCN Grade Group 1, low risk group
TNM stage: T1c, N0, M0
PELVIC MRI showed no signs of EPE, no lymph or bladder invasion, normal bones, and other pelvic organs normal.