Showing posts with label Family History. Show all posts
Showing posts with label Family History. Show all posts

Prostate cancer by the numbers


A photo of the world from space with the statistic: Worldwide roughly 1.5 million new cases of prostate cancer are diagnosed annually, from the World Cancer Research Fund

To raise funds for prostate cancer research and patient support through the Movember charity, I pledged to publish 30 blog posts in November of 2026, while undergoing prostate cancer treatment. This is the second of those 30 posts. (To be completely transparent, it is an expanded version of a shorter piece I originally put together in August, but I think it still counts as one of the 30.) 

While yesterday's post was a brief and rather blunt introduction to the prostate itself and the prostate cancer experience, today I have focused on the scale of the prostate cancer problem, and by implication, the number of people experiencing prostate cancer. 

So, yes, there will be a bunch of statistics. However, I don't want to lose sight of the fact that, behind all these numbers are people coping with cancers that are life limiting and life ending. Although cancer survival rates today are far higher than they used to be, fear of cancer is still strong and widespread. If you need support, I have listed resources on my Prostate Cancer page.

Headline Prostate Cancer Numbers

  • Prevalence: Roughly 600,000 men are currently living with or after a prostate cancer diagnosis in the UK. 
  • Mortality: Over 12,000 men die from the disease each year in the UK.
  • Lifetime Risk: About 1 in 8 men will be diagnosed with prostate cancer in their lifetime (rising to about 1 in 6 depending on specific definitions). 
  • Age Factor: Most cases are diagnosed in men aged 50 and older, with incidence rates peaking in the 75–79 age group. 
  • Ethnicity Risk: Black men face a significantly higher risk, with approximately 1 in 4 developing prostate cancer in their lifetime—roughly double the general population risk. 
These are UK numbers but America's data is comparable. These stats come from Prostate Cancer UK, Cancer Research UK,  World Cancer Research Fund, ITV News, Focal Therapy Clinic. For more sources see final section of this post: Prostate Cancer Data Sources.

The growth of prostate cancer

Data from the NHS in England shows that 50,751 men were diagnosed with prostate cancer in England in 2022, compared to 48,531 breast cancer diagnoses in the same year. The following year (2023), 55,033 men got a prostate cancer diagnosis, while there were 47,526 breast cancer cases. The UK’s leading men’s health charity also reveals today that prostate cancer cases shot up by a quarter (25%) between 2019 and 2023. Prostate cancer was impacted by the pandemic more than any other cancer. Because people were less likely to visit their GP at the height of the pandemic, more than 14,000 men who should have been diagnosed and referred for treatment were missing from the health system.
The rise of prostate cancer (Urological) in the UK from April 2020 to October 2024 

As a public health issue, prostate cancer (PCa), has growing rapidly this century; it is now comparable in scale to breast cancer (BCa). By some key numerical measures PCa has now overtaken BCa, for example in terms of UK deaths, recent UK diagnoses, and projected US new cases.

I'm not pointing this out to diminish breast cancer, but to put prostate cancer in perspective. In most countries, PCa has become a major national cancer problem warranting a focus on screening, detection, treatment, patient and partner support, and research into cure and prvention.

You can see the dramatic rise in the number of prostate cancer patients being treated in the UK since 2000 in chart at the top of this post. This is from the UK publication Urology News. (Sources for the statistics in this article are listed in the final section: Prostate Cancer Data Sources).

Prostate Cancer (PCa) in the US

The American Cancer Society has projected 333,830 new prostate cancer cases in 2026, making it the single largest named cancer category in its table of estimated new cancers. That is slightly higher than 324,580 breast cancer cases when female and male breast cancer are counted together. 

It's important to note that in terms of projected deaths, breast cancer (BCa), remains higher in the US: (42,670 versus 36,320 deaths in 2026). An accurate statement of the situation would be: prostate cancer is now numerically bigger in the US than breast cancer in terms of projected new diagnoses, but not deaths.

To put the scale of PCa in context we can look at population rates. The US National Cancer Institute’s SEER data put prostate cancer at 123.2 new cases per 100,000 men per year, with a death rate of 18.9 per 100,000 men, based on recent incidence and mortality periods. Female breast cancer is still slightly higher at 132.5 new cases per 100,000 women, with the same reported death rate of 18.9 per 100,000 women. 

The UK PCa picture

In the UK, the organization Cancer Research UK projects 57,900 new prostate cancer cases per year, or roughly 160 diagnoses a day, using 2019 and 2021–2022 data. Prostate cancer accounts for 14% of all new UK cancer cases and is the most common cancer in men, representing 28% of new male cancer cases. 

The UK incidence of PCa has risen sharply over the longer term: CRUK reports that incidence rates in males have increased by 54% since the early 1990s, and are projected to rise a further 14% between 2024–2026 and 2038–2040, reaching about 85,100 new cases a year by 2038–2040.

The UK breast cancer comparison is striking but slightly time-sensitive. CRUK’s consolidated figures still list breast cancer at about 59,400 new cases per year, just above the prostate figure in that dataset. But Prostate Cancer UK, citing the latest NHS figures, reported in January 2026 that UK prostate cancer diagnoses rose from just under 52,000 in 2021 to more than 64,000 in 2022, a 24% increase, making prostate cancer more commonly diagnosed than breast cancer.

On mortality, the UK comparison is already clearer. CRUK reports around 12,300 prostate cancer deaths per year, compared with around 11,200 breast cancer deaths. Prostate cancer is the third most common cause of cancer death in the UK overall and the second most common cause of cancer death in men. Breast cancer remains the second most common cause of cancer death in women, but numerically, prostate cancer now causes slightly more UK deaths each year.

Beyond the numbers

I was completely ignorant of prostate cancer numbers before March of 2018; that's when my brother told me he had been diagnosed with it. At that time he was 60. In hindsight, back then I did not do enough to educate myself about prostate cancer, or support what he was going through. 

That changed three years later when a series of PSA tests led to a urologist writing this statement in a letter to my doctor:

I have contacted Mr Cobb to discuss his persistently mildly raised PSA. This has remained constant around the value of 4.4 mcg/L and it would be recommended for us to further investigate the matter. Have informed him that the routine investigation pathway includes an MRI scan of the prostate and a prostate biopsy. The MRI scan will show any suspicious areas that might need a targeted biopsy. The LAD prostate biopsy is a local anaesthetic transperineal approach to biopsying the prostate and it carries the risk of bleeding, bruising, temporary erectile dysfunction or numbness, discomfort on urination or urinary retention. This gentleman has agreed to have both procedures and I have added his name to the waiting list.

Basically, this was the consultant saying there was chance I had prostate cancer. At this point my brother had been living with prostate cancer for three years, three very active and productive years. Ironically, that had a positive effect on how I coped with the news I too might have to live with prostate cancer. I did not feel a sense of dread.

Yes, I was deeply concerned, but I threw myself into research mode. At this point I was 69 and it became clear that, with all the treatment options available, having prostate cancer was probably not going to shorten my life.