85 here with zero health issues except PC. Last year (Jan 2024) PSA was 12.3 so I was referred to a urologist. 10 months later I finally got an MRI showing 2 lesions (PIRADS 5). Subsequent biopsy revealed Gleason 4 + 5. Nothing in lymph nodes however there is cribriform plus cancer in one side seminal vessel. Bone and full CT scans clear so it appears to be localized advanced (high risk) PC. No PSMA scan. Four months done with ADT (Eligard). Started 20 fractions of EBRT radiation. It seemed like the RO was trying to talk me out of doing radiation because of the side effects, my age, and quality of life issues. I too would like to be around for 15 more years (God willing). Seemed to me that not killing an aggressive cancer was not a good idea. Anyway, I may regret it but I'm in for ADT and Radiation.