CaP
is the 12th most common malignancy, but the most lethal. When diagnosed it is a
systemic disease, as micro
metastasis have disseminated long before tumor detection.
Despite
public awareness and campaigns to promote early detection the 5 year survival
has improved little since the 1970’s, a period before body imaging, advanced
endoscopy or multi drug systemic therapy was available.
In England and Wales between 1971- 1975 the
relative 1 year survival for CaP was 6% which increased to 17.4% between
2005-2009, while during the same time the relative 5 year survival was 2% and
3.6%.
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