Point-Counterpoint: Active Surveillance for Intermediate-Risk Prostate Cancer - Pro

Layman here with 1 hgpin core looking into background info.

This presentation seems to present that no evidence based preference exists for better outcomes watching vs. acting.

Does this include proton radiation therapy as well?

Case A)
1 Biopsy-Core 20 mm
Cancerous tissue 15 %
Pattern 3 (80%)
Pattern 4 (20%)

Case B)
1 Biopsy-Core 20 mm
Cancerous tissue 40%
Pattern 3 (90%)
Pattern 4 (10%)

Which case is more favorable for the patient ?