Prostate cancer guideline for Asian patients

Cai Wenjun
Twice as many people die from the disease in China than in the US, a forum in Shanghai is told, but early screening and regulated clinical practice can change that.
Cai Wenjun

Nearly 52,000 Chinese people die from prostate cancer every year, double the number in the United States. Treatment and diagnosis in China lag behind developed countries, local experts told the Shanghai International Forum on Urologic Oncology on Saturday.

To enhance the efficiency and accuracy of early screening and clinical practice, the first guideline on diagnosis and treatment for Asian people was released at the forum.

“The incidence of prostate cancer is rising quickly in China, which has more patients at a terminal stage and higher mortality. The genetic features of Chinese in prostate cancer are quite different from Western patients,” said Dr Ye Dingwei from the Shanghai Cancer Center. Ye said the lack of a guideline for Asian people seriously restricted decision-making in clinical practice.

Ye led a team of around 40 experts on the disease from around the world to work out the guideline. 

“Early detection and treatment are the key to reduce mortality and even achieve recovery for patients. If detected in early stage, over 90 percent of patients can survive for over five years, a term for clinical recovery,” Ye said. “However, over 60 percent of patients in China have been in the middle or terminal stage when diagnosed. It is an important reason why mortality in China is much higher than in Western countries.”

To promote early screening, Ye's team worked on a standard and launched the first batch of screenings in Shanghai. 

So far, 12 centers in medical facilities and 22 sites in neighborhood health centers have been established in Shanghai and cities in other provinces to enable early and accurate screening.

Prostate cancer guideline for Asian patients
Shanghai Cancer Center / Ti Gong

Dr Ye Dingwei (right) from Shanghai Cancer Center is in surgery.

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