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PROSTATE CANCER WORKING TOWARDS CURES Prostate cancer is the most common cancer in UK men. But treatments are improving all the time and we are at the heart of this progress. Last year, we spent nearly £17 million on our research, taking us a step closer to beating the disease. WHAT IS PROSTATE CANCER? The prostate is a small, walnut-sized gland that produces the fluid that carries sperm when a man ejaculates. Prostate cancer develops when cells in the gland multiply out of control, forming a tumour. Cancer cells can also break away from the tumour and spread around the body forming secondary tumours. Around 41,000 men in the UK are diagnosed with prostate cancer every year – that’s more than 112 every day. HOW IS PROSTATE CANCER TREATED? Treatment options include surgery, radiotherapy, hormone therapy, and chemotherapy. The most appropriate treatment depends on how advanced the cancer is. The disease can be slow growing, so being monitored rather than having treatment straight away is sometimes an option. WHAT ABOUT SCREENING FOR PROSTATE CANCER? There is no national screening programme for prostate cancer, because the available tests are not reliable enough and it is not clear whether the harms would outweigh the benefits. Doctors can do a blood test for PSA (prostate specific antigen), a molecule produced by the prostate. If men over 50 want this test, they can talk to their doctor who will tell them about the harms and benefits to help them decide. Over two thirds of patients will survive for at least 10 years WHAT COULD AFFECT YOUR RISK? 60+ Around nine out of 10 cases are in men over the age of 60. The risk is greater if a close relative has had the disease, especially if they were diagnosed before 60. Prostate cancer is more common in black men and less common in Asian men, compared with white men. Have you got questions about cancer? Visit cruk.org/about-cancer or call our specialist cancer nurses on 0808 800 4040 OUR SCIENCE CHANGES LIVES We’ve pioneered the development of new treatments for prostate cancer and played a starring role in the discovery and development of abiraterone. This drug is making a real difference to men with advanced prostate cancer, giving them extra time with their loved ones. And thanks to our research a more precise radiotherapy treatment with fewer side effects is now available, helping men get back on their feet faster. IAN FROM WEST SUSSEX KNOWS THE IMPORTANCE OF RESEARCH I was diagnosed with prostate cancer in 2003 and initially had hormone therapy. When my PSA levels started to rise again, I took part in a series of clinical trials of different drugs including abiraterone. I also had a course of precision radiotherapy, which wasn’t even available 10 years ago. Thanks to my treatment I’ve had the all clear and I’m doing really well. Cancer Research UK t: +44 (0)20 7242 0200 Registered charity in England and Wales (1089464), Scotland (SC041666) and the Isle of Man (1103). For information on prostate cancer research, stats, signs & symptoms and treatment, go to cruk.org MAKING A DIFFERENCE We receive no government funding for our research Thanks to our research, we’ve developed an in-depth understanding of prostate cancer that has underpinned new treatments, working towards a day when more men survive. PROFESSOR ROS EELES IN LONDON TELLS US HER STORY Prostate cancer is one of the biggest cancer killers of men, so I wanted to do more to understand this disease and find new treatments. I’m identifying the role genes play in prostate cancer and this has lots of potential benefits. Understanding the genetics of prostate cancer could lead to future screening programmes to spot cancer earlier when it is easy to treat, and also gives us clues about cancer that could lead to new treatments. ACCESS TO TREATMENTS WORLD’S FIRST We successfully lobbied to make sure abiraterone was available to every man who needs it, giving them extra time with their friends and families. Our researchers developed the first ever man-made hormone used to treat men with prostate cancer, paving the way for the hormone treatments used today. IMPROVING TREATMENTS UNDERSTANDING RISK Our scientists helped develop a new radiotherapy technique used to target prostate cancer. This vital treatment is now more accurate and effective, helping to reduce side effects. We’re leading a landmark study to crack the genetic code of prostate cancer. This could lead to new treatments and help identify men most at risk, so they could be monitored for early signs of the disease. OUR PROGRESS IS YOUR PROGRESS We’re proud of what we’ve accomplished, but there’s still much more to be done. Here’s a glance at what our researchers are doing to prevent, control and cure prostate cancer. Glasgow: Professor Hing Leung is looking at how faulty communication inside prostate cells leads to cancer, and how we might use that information to detect and treat the disease. London: Professor Johann de Bono’s team is leading clinical trials to test drugs that may help treat men whose prostate cancer is no longer responding to other treatment. Birmingham: Professor Nicholas James is carrying out a trial to find the best combination of treatments for men with advanced prostate cancer. Bristol: Professor Richard Martin is researching whether or not the PSA test saves lives from prostate cancer. Reliable, early detection would lead to better outcomes for patients. Cambridge: Professor Kay-Tee Khaw is investigating the lifestyle and biological causes of cancer, which could in future help men reduce their risk of developing prostate cancer. September 2014 Glasgow: Dr Prabhakar Rajan is working out how prostate cancer spreads. This work could lead to new ways to stop the disease in its tracks. Find out more: download other research leaflets in this series at cruk.org/researchleaflets