The contemporary management of prostate cancer

D Deep Chakrabarti (Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK) P Peter Albertsen (UConn Health Farmington Connecticut USA) A Aidan Adkins (Europa Uomo Antwerp Belgium) A Amar Kishan (Ronald Reagan UCLA Medical Center University of California‐Los Angeles Medical Center Santa Monica California USA) V Vedang Murthy (Tata Memorial Hospital and Advanced Center for Treatment Research and Education in Cancer Homi Bhabha National Institute Mumbai India) C Chris Parker (Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK) A Angela Pathmanathan (Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK) A Alison Reid (Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK) O Oliver Sartor (Mayo Clinic Comprehensive Cancer Center Mayo Clinic Rochester Minnesota USA) N Nicholas Van As (Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK) J Jochen Walz (Institut Paoli‐Calmettes Cancer Center Marseille France) A Alison Tree (Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK)

Abstract

Abstract Prostate cancer is the most common cancer in two thirds of the world, with an expected doubling in both incidence and mortality in the next two decades. No strong environmental associations exist for the development of prostate cancer; therefore, lifestyle measures are unlikely to mitigate this increasing burden. The last three decades have seen rapid developments in the diagnostic and therapeutic landscape of prostate cancer, including multiparametric magnetic resonance imaging, positron emission tomography, robotic surgery, image‐guided hypofractionated and stereotactic radiotherapy, novel anti‐androgens and radioligand therapies. Prostate cancer is unique in that not everyone with a diagnosis needs treatment, and active surveillance is the preferred option for some. This review discusses the contemporary management of all stages of prostate cancer in the light of these modern developments, enabling holistic individualization of treatment, and describes the promise of future research to further improve outcomes.

Article Details

Volume / Issue Vol. 75, Issue 6
Published December 01, 2025
Pages 552-586
ISSN 0007-9235
Publisher Wiley

Journal Info

CA: A Cancer Journal for Clinicians

Wiley

ISSN: 0007-9235 Open Access Q1 Medicine

Authors (12)

D

Deep Chakrabarti

Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK

P

Peter Albertsen

UConn Health Farmington Connecticut USA

A

Aidan Adkins

Europa Uomo Antwerp Belgium

A

Amar Kishan

Ronald Reagan UCLA Medical Center University of California‐Los Angeles Medical Center Santa Monica California USA

V

Vedang Murthy

Tata Memorial Hospital and Advanced Center for Treatment Research and Education in Cancer Homi Bhabha National Institute Mumbai India

C

Chris Parker

Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK

A

Angela Pathmanathan

Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK

A

Alison Reid

Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK

O

Oliver Sartor

Mayo Clinic Comprehensive Cancer Center Mayo Clinic Rochester Minnesota USA

N

Nicholas Van As

Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK

J

Jochen Walz

Institut Paoli‐Calmettes Cancer Center Marseille France

A

Alison Tree

Uro‐Oncology Unit The Royal Marsden National Health Service Foundation Trust Sutton and London UK