Does prostate cancer have a good prognosis?

The 5-year survival rate in the United States for men diagnosed with early-stage prostate cancer is greater than 99%.

pcf.org - Prostate Cancer Survival Rates

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By the Numbers: Diagnosis and Survival

Prostate cancer is the most commonly diagnosed type of cancer in the US (excluding skin cancer), and the second leading cause of cancer in men worldwide. 1 in 8 US men will be diagnosed with prostate cancer at some point in their lives. Prostate cancer incidence increases with age: the older you are, the greater your chance of developing it. Although only about 1 in 456 men under age 50 will be diagnosed, the rate shoots up to 1 in 54 for ages 50 to 59, 1 in 19 for ages 60 to 69, and 1 in 11 for men 70 and older. Nearly 60% of all prostate cancers are diagnosed in men over the age of 65. Prostate cancer is diagnosed with a biopsy. The most common reason for a man to undergo a prostate biopsy is due to an elevated prostate-specific antigen level (PSA), determined by a blood test. In the last decade, changes in PSA screening recommendations have affected the rates of prostate cancer diagnosis.

Learn more about screening for prostate cancer.

While prostate cancer is relatively common, the good news is that more than 80% of all prostate cancers are detected when the cancer is confined to the prostate or the region around it, and treatment success rates are high compared with many other types of cancer. The 5-year survival rate in the United States for men diagnosed with early-stage prostate cancer is greater than 99%. In other words, the chance of a man dying from his prostate cancer is generally low. However, prostate cancer comes in many forms, and some men can have aggressive prostate cancer even when it appears to be confined to the prostate. Amidst so much optimism and progress in the last 10 years, it’s important to keep in mind that prostate cancer is still a deadly disease for some men, and it is the second leading cause of cancer death among men in the US, with 94 men dying from it every day. In general, the earlier the cancer is caught and treated, the more likely the patient will remain disease-free. In fact, many men with “low-risk” tumors (which are the most common type of prostate cancer), as well as some men with intermediate-risk disease, can safely undergo active surveillance. This means patients are closely monitored without immediate treatment (or treatment-related side effects), while still preserving their chance of long-term survival if the cancer becomes aggressive enough to require treatment.

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Is surgery better than radiation for prostate cancer?

Both radiation and surgery are equally effective treatments to cure prostate cancer." The choice of which treatment is best is up to individual patients and their care teams, Dr. King says. "Make sure you talk with a surgeon and a radiation oncologist before you make your decision.

cedars-sinai.org - Radiation Therapy as Effective as Surgery for Prostate Cancer

Prostate cancer is the most common cancer among men. It's usually detected early and often doesn't need to be treated right away—and when and how to screen for prostate cancer is a personalized process that men need to discuss with their doctors. These are basic facts most men know about prostate cancer. Far fewer men are aware that radiation and surgery are equally effective at curing prostate cancers, says Dr. Benjamin King, a radiation oncologist at Cedars-Sinai. "Most men with prostate cancer are diagnosed by urologists—who are also surgeons," he says. "So, they often hear about surgical options, but fewer have lengthy discussions about radiation options. Both radiation and surgery are equally effective treatments to cure prostate cancer." The choice of which treatment is best is up to individual patients and their care teams, Dr. King says.

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