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Q J Med 2003; 96: 75-79
© 2003 Association of Physicians

Commentary

How are we looking after prostate cancer?

J. WAXMAN and D. MAZHAR

From the Department of Cancer Medicine, Faculty of Medicine, Imperial College of Science, Technology & Medicine, London, UK

The first 150 words of the full text of this article appear below.


   Introduction
 
The most recent statistics available show that in 1998, 216 000 people were registered as having cancer. In males, the most common tumour was lung cancer: 19 487 (18.3%) were registered, while prostate cancer came a narrow second, with 19 335 registrations (18.1%). Lung cancer deaths are declining, but there were 3370 deaths from prostate cancer in 1964, and mortality rates have nearly trebled since that time. The major increases in mortality rates were in the 1960s, 70s and 80s. However, in the late 90s, death rates appear to have plateaued.1,2


   Are prostate cancer deaths increasing?
 
Is this increase in mortality rates real, a function of misdiagnosis, or the result of increased population numbers and later age of death? It is unlikely that clinicians failed to diagnose prostate cancer in the 1960s, as prostate cancer is relatively easily defined as a cause of death. The increase is not due to changing population numbers, because if . . . [Full Text of this Article]


   Risk factors
 

   Treatment of localized prostate cancer
 
Surgery
External beam radiotherapy
Brachytherapy
Active observation

   Screening
 

   Hormonal therapy for metastatic and locally advanced disease
 

   Prostate cancer survival
 

   Prostate cancer research initiatives
 

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