Warning over startling rise in younger men with prostate cancer: cases treble in last 22 years

Prostate cancer diagnoses among men under 50 have more than trebled in England in just over two decades, alarming new figures reveal.

There were 640 new cases among this group in 2023, up from just 158 in 2001, according to analysis by the World Cancer Research Fund.

Cancer diagnosed before the age of 50 is known as 'early-onset'. Until now, much of the concern over rising cancer rates in younger adults has focused on bowel cancer.

But the new analysis of NHS England data found prostate cancer has seen a far steeper rise.

In 2001, there was around one case for every 100,000 men under 50. By 2023, that had risen to 3.6.

That amounts to a 305 per cent increase over 22 years – more than double the rise seen in bowel cancer over the same period.

Professor Roger Kirby, a retired prostate surgeon and co-founder of Prostate Cancer UK, who was not involved in the research, told the Daily Mail that greater awareness and increased testing were likely to explain some of the rise.

But he warned that soaring obesity rates and diets increasingly high in processed meat could also be playing a role.

Prostate cancer diagnoses among men under 50 have more than trebled in England over the last two decades, concerning analysis has revealed

'We think processed meat is important,' Prof Kirby said. 'Not only for bowel cancer, but in prostate cancer, too.

'This includes bacon, sausages, burgers – all that sort of fast food stuff.'

He pointed in particular to nitrates and nitrites used in some processed meats, which have been linked to an increased risk of bowel cancer.

Prof Kirby said the wider shift towards unhealthy diets, obesity and inactivity could also be contributing to rising cancer rates.

However, experts cautioned that the rise in diagnoses does not necessarily mean younger men are actually becoming more likely to develop prostate cancer.

Professor Prabhakar Rajan, Professor of Urology and Robotic Surgery at Queen Mary University of London, said greater awareness, more testing and changes in the way the disease is diagnosed could all be contributing to the increase.

'The analysis identifies important trends but cannot establish their causes,' he said.

The World Cancer Research Fund analysis also found striking increases in several other cancers among people under 50.

Bowel cancer cases rose from 1,289 in 2001 to 2,989 in 2023, with the rate climbing from 3.9 to 8.4 cases per 100,000 people.

Kidney cancer more than doubled, from 510 to 1,065 cases a year, while womb cancer rose from 335 to 698.

Liver cancer increased from 160 cases to 278 and pancreatic cancer from 255 to 346.

Breast cancer remained by far the most commonly diagnosed of the cancers analysed, with cases rising from 6,886 to 8,507 – an increase of around 24 per cent.

Dr Giota Mitrou, the WCRF's executive director of research and policy, said: 'These figures should make us pause and think because this current trajectory is concerning.

'Behind every figure is a person facing cancer earlier than they, their family and often their doctor would expect.

'These findings show that the early-onset cancer picture in England is far wider and more complex, involving several cancers rather than bowel cancer alone.'

The prostate findings come amid an increasingly fierce debate over whether Britain should routinely screen men for the disease.

The UK National Screening Committee recently recommended screening only around 1,500 men aged 45 to 61 who carry a particular genetic mutation and have a family history of an associated cancer.

Campaigners have since urged the Government to reverse what they called the 'wrong' decision.

Signatories to a letter to Health Secretary Yvette Cooper included Jeremy Clarkson, Sir Stephen Fry and David Cameron – all of whom have had prostate cancer – as well as Rishi Sunak, an ambassador for Prostate Cancer Research.

The Daily Mail is also campaigning to end needless prostate cancer deaths and for a national screening programme, initially targeting men at highest risk, including black men and those with a family history of the disease or specific genetic mutations.

Prostate cancer is the most common cancer among men in Britain, with around 63,000 cases and 12,000 deaths every year – equivalent to one death every 45 minutes.

Prof Kirby urged men who are concerned about their risk to speak to their doctor about a prostate-specific antigen (PSA) blood test.

'We know that having awareness and knowing your own numbers and keeping an eye on them can help,' he said.

'Plus, looking after your cholesterol, keeping your weight down, having a healthy lifestyle and doing 10,000 steps a day can all help.'

Natalia Norori, head of data and evidence at Prostate Cancer UK, said the rise in diagnoses partly reflected more men having PSA tests.

'However, prostate cancer is now the most common cancer in the UK,' she said.

'And the number of men diagnosed with the disease is projected to rise, with more than one million expected to be living with a prostate cancer diagnosis by the end of the 2030s.

'Addressing this rise must be a priority for the Government.'