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Epidemiology

Disease Burden in the United States

Prostate cancer ranks as the most common cancer among US men1*

333,800+

new cases of prostate cancer will be diagnosed in the US in 20261

>3.5M

men living with prostate cancer in the US in 20252

1 in 8

men will be diagnosed with prostate cancer in their lifetime1

Prostate Cancer Incidence in the US per 100,000 Adult Males (Age-Adjusted)1

Median Age of Diagnosis1

68 years

Prostate Cancer Incidence by Age1

Prostate cancer incidence peaks in men between 65 and 74 years of age, with a median age at diagnosis of 68 years. Incidence rates for localized disease have declined since 2007, whereas rates for regional and distant disease have remained relatively stable.

*Estimates are rounded to the nearest 10 and exclude basal cell and squamous cell skin cancers and in situ carcinoma except urinary bladder. Rank is based on modeled projections and may differ from observed data.1
SEER 21 2018–2022, All Races, Males.2
SEER, Surveillance, Epidemiology, and End Results Program.
1. American Cancer Society. Cancer Facts & Figures 2026. Accessed February 3, 2026. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2026/2026-cancer-facts-and-figures.pdf. 2. American Cancer Society. About Prostate Cancer. Accessed February 3, 2026. https://www.cancer.org/cancer/types/prostate-cancer/about.html. 3. National Cancer Institute (NCI) Surveillance, Epidemiology, and End Results Program (SEER) ; Prostate Cancer. Accessed February 3, 2026. https://seer.cancer.gov/statfacts/html/prost.html.

Pathophysiology

Prostate cancer is characterized by sustained dependence on androgen receptor signaling, with testosterone and other androgens playing a central role in tumor growth, survival, and disease progression. As the disease advances, prostate cancer commonly shows increased biological complexity and resistance mechanisms, despite castrate testosterone levels.

Role of Androgens in Prostate Cancer

  • Androgens play a pivotal role in normal growth of the prostate gland but also in the development of prostate cancer1,2

ACTH, adrenocorticotropic hormone; AR, androgen receptor; CRH, corticotropin-releasing hormone; DHEA, dehydroepiandrosterone; DHEAS, dehydroepiandrosterone sulfate; DHT, 5a-dihydrotestosterone; FSH, follicle-stimulating hormone; GnRH, gonadotropin-releasing hormone; LH, luteinizing hormone; SHBG, steroid hormone-binding globulin.

1. Scher HI, et al. Endocr Relat Cancer. 2004;11:459–476. 2. Lonergan PE, Tindall DJ. J Carcinog. 2011;10:20.

Diagnosis

Diagnosis of prostate cancer incorporates PSA testing, DRE, biopsy confirmation, and imaging to define disease extent. Management decisions take into account disease burden, symptoms, comorbidities, and prior therapies.

Stages of Prostate Cancer1

Localized diseaseA urinary tract showing localized prostate cancer contained within the prostate gland
Locally advanced diseaseA urinary tract showing locally advanced cancer into nerby organs and/or lymph nodes close to the prostate
Metastatic disease

DRE, digital rectal exam; PSA, prostate-specific antigen.

1. ZERO Prostate Cancer. Prostate Cancer Stages and Grades. Accessed April 2, 2026. https://zerocancer.org/stages-and-grading.

Resources

Downloadable Resources

Clinical Guidelines Update: Principles of ADT

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