Scottish Daily Mail

Prostate deaths hit record high

Annual total has soared by 2,600 in 20 years... while breast cancer toll has dropped by 1,600

- By Ben Spencer Medical Correspond­ent

PROSTATE cancer deaths have passed 12,000 a year for the first time.

The toll has risen by more than a quarter in less than 20 years, official figures show.

By contrast, the number of annual deaths from breast cancer dropped by nearly 1,600 between 1999 and 2017, from 12,947 to 11,371. Annual prostate deaths have risen by nearly 2,600 in the same period, from 9,460 to 12,031 – a 27 per cent increase.

Our ageing population is the main reason, with older men more likely to develop the disease. However, the number of patients diagnosed with breast cancer has also risen – yet the number of deaths has fallen.

Experts say delays in diagnosing prostate cancer mean that, for thousands of men, the disease is only spotted when it is too late to act. Just 47 per cent of cases are diagnosed before the cancer has spread outside the prostate – the stage at which it is easiest to treat them. The government target is 75 per cent.

Another issue is lack of awareness, with men far more likely to ignore symptoms than women. However, a more fundamenta­l problem is screening. Tests for breast cancer are routine, with middle-aged women invited for scans every three years. By contrast, tests for prostate cancer are notoriousl­y inaccurate.

Advances in MRI scanning show huge promise, but these tests are expensive and are still being trialled. For now, men are left with the PSA blood test. This is far from accurate and may lead to a painful biopsy which can also be unreliable.

Angela Culhane, chief executive of Prostate Cancer UK – which compiled the figures on annual death tolls from government databases – said: ‘By 2030, prostate cancer is set to be the most commonly diagnosed of all cancers in the UK. Before we reach this point, we must ensure that as many of these men as possible have their prostate cancer caught early and successful­ly treated.

‘The fact that deaths from the disease are still reaching record highs serves as a stark reminder of the work yet to do.’

The Daily Mail has been campaignin­g for more than 20 years to improve prostate cancer treatments and diagnosis. Nearly 48,000 men are now diagnosed with the disease in the UK each year. In 2018 the Government pledged an additional £75million for research, swiftly followed by another £10million in funding from the NHS.

Awareness has also risen. After the Mail relaunched its campaign in 2018, celebritie­s including broadcaste­r Bill Turnbull and Stephen Fry went public with their own diagnoses.

Mr Turnbull said: ‘Since I went public with my illness, I’ve had the opportunit­y to meet so many brilliant people who are doing their bit to fight prostate cancer.

‘However, more still needs to be done. We must keep up the momentum until prostate cancer is no longer a danger to thousands of men every year.’

An NHS spokesman said: ‘The survival rates for prostate cancer is now at a record high of 86 per cent – despite the NHS dealing with an ageing population and an increase in the numbers of people diagnosed.

‘Some of the latest developmen­ts in MRI scanning for prostate cancer diagnosis are already being rolled out as part of [health service] ambitions to catch three quarters of all cancers at an earlier stage, when they are easier to treat.’

BURDENED heavily by dealing with the miserable fallout from problem gambling, the NHS can devote less time and fewer resources to other medical concerns.

One is prostate cancer. This is the disease that dare not speak its name. Certainly not in male company, where mention of it often instigates embarrasse­d chuckles.

But the condition is no laughing matter. Depressing new figures reveal that, for the first time, prostate cancer has killed more than 12,000 men in a year.

Yet the real tragedy is these numbers are much higher than they should be in a society as rich and advanced as ours.

Yes, funding for fighting prostate cancer has increased. But the illness remains woefully low on the NHS priority list.

Medical tests are notoriousl­y unreliable. And misguidedl­y, men are reluctant to undergo intimate physical examinatio­ns.

For 20 years, this paper has campaigned to raise awareness of this silent killer – contributi­ng to a surge in men going for check-ups. The NHS must now stop dragging its heels and develop a free nationwide screening service – the key to early diagnosis and life-saving treatment.

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