“Lesion #1 is associated with macroscopic extracapsular extension”.

Is the real significant thing here? It means that the lesion has gotten out of the capsule into the surrounding tissue but has not spread to nearby body structures, Something that could occur who know when, nobody. That’s the T3A.

It looks like nothing else was really found, a good thing. It’s probably just the prostate and some surrounding tissues that needs to be removed.

Radiation would be perfectly appropriate for this condition. I know you have heart problems so that would probably make the most sense. I’m sure this is what your doctor told you as well. ADT alone is probably not going to be enough. You should be talking to a radiation oncologist about your treatment.