en_tn/act/19/10.md

all who lived in Asia heard

Possible meanings are 1) Paul shared the gospel with many people throughout all of Asia or 2) Paul's message went out to all of Asia from Ephesus by the Ephesians as well as people who visited Ephesus and came from all over Asia.

the word of the Lord

Here "word" stands for a message. Alternate translation: "the message about the Lord" (See: rc://en/ta/man/translate/figs-metonymy)