Isit, I may not have expressed myself very well. Providing your doc with evidence re ADT is a good approach; telling him you have heard of others who did not have it will probably not impress him. Heck, I also had favorable risk PCa and was successfully treated with radiation w/o ADT. My bigger points, which have been reinforced by others and I hope you will consider are:
1. Get an expert second opinion on the biopsy slides as that may change the treatment options.
2. See multiple radiation doctors since they specialize.
3. Depending on the outcome of the second biopsy opinion, consider Active Surveillance. Speak with a doctor with AS experience. Give your dad's comorbidities, subjecting him to treatment may not be the right approach.
Thank you for the advice Jim, i surely appreciate it. I will today search for more advice from oncologists specialized in radiology and show them the rmi i have from my Father prostate. The problem here in Portugal where i live is that they dont record any images of the biopsies. My Father made an MRI-GUIDED Fusion biopsy, dont know if its called that way in US. Yesterday morning i did have an appointment with another urologist with oncology expertize, and he looked at thr results and the rmi and said:
"there should be no problem with ADT with your Father, but according to the mri and results i advise your Father to be on active surveilance."
I replied "I agree on the active surveilance part but not on ADT."
And he then said it must be done for good effectiveness in treatment. I said "sorry" dont agree will ask for another opinion. And thats what i am doing today.
Thank you for everything.