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Who is most likely to survive five years after diagnosis of advanced prostate cancer?

Asian American and Pacific Islander men are the most likely, and whites the least likely, to survive five years after a diagnosis of distant (advanced) prostate cancer, according to new data from 2011-2016 released by the Centers for Disease Control and Prevention (CDC).

After the diagnosis of advanced prostate cancer, 42% of Asian Americans and Pacific Islanders survive for at least 5 years compared with 39% of American Indians and Alaska Natives, 38% of Hispanics, 33% of Blacks, and 31% of whites.

About three-quarters of U.S. men with prostate cancer have low-risk, localized cancer at diagnosis and essentially all men survive this at least five years. Even with a diagnosis of regional prostate cancer, 97% to 99% of all men survive 5 years.

However, the percent of men with distant, advanced cancer at diagnosis has doubled to 8% since 2003 and survival for at least 5 years drops to 31% to 42%.

Localized prostate cancer is confined to the prostate; regional prostate cancer extends to adjacent organs or structures or spreads to regional lymph nodes; distant prostate cancer has spread to parts of the body remote from the prostate.

See “Prostate Cancer Incidence and Survival, by Stage and Race/Ethnicity — United States, 2001–2017” on the CDC website (October 16, 2020)

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