Definition

A malignant prostate tumour whose behaviour depends on its aggressiveness and extent.

Symptoms

Often symptom-free early on. Urinary symptoms may occur but frequently have benign causes.

How it may be discovered

Found after an abnormal PSA, suspicious examination or risk-based assessment.

When to seek care

Consult about abnormal results, family risk or persistent symptoms.

Investigations and tests

Contextual PSA assessment, examination, MRI and indicated biopsies; staging according to risk.

Reaching a diagnosis

Biopsy analysis usually confirms cancer and grade. A raised PSA alone does not diagnose cancer.

Treatment options

Selected active surveillance, surgery, radiotherapy with or without hormonal therapy, and systemic treatments for advanced disease following specialist discussion.

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