Skip to main navigation Skip to main content

Page translation not available

This page is not available in the language that has been selected and will appear in English.

Prostate cancer

Prostate cancer occurs when abnormal prostate cells develop, often from mutations in the cell DNA, and grow in an uncontrolled way.

Jump to: Quick facts Types of prostate cancer Signs and symptoms Stages Treatment FAQs

Quick facts about prostate cancer

  • For the majority of men, prostate cancer develops slowly and may not cause any problems for many years.

  • Prostate cancer is the third most common cancer among men in Singapore.¹

  • Increased incidence rate of prostate cancer occurs for men who are 75 years old and above.

What is prostate cancer?

The prostate is a walnut-shaped gland within the male reproductive system that is involved in the production of semen. Prostate cancer develops when abnormal cells in the prostate gland grow uncontrollably and become malignant.1 The early stages of prostate cancer refers to cancer cells that have not spread beyond the prostate.

Types of prostate cancer

Almost all prostate cancers are adenocarcinomas – cancers that develop from the gland cells (the cells that make fluid within the prostate).

Other rare types of cancer that can begin in the prostate include

  • small cell carcinomas,

  • neuroendocrine tumours (other than small cell carcinomas),

  • transitional cell carcinomas, and

  • sarcomas.

Signs and symptoms of prostate cancer

As signs and symptoms for prostate cancer can be similar to other common conditions, it’s important to see your GP or healthcare professional if you experience any of the symptoms below. Discussing anything concerning as soon as possible can help give you peace of mind and offer the best chance of successful treatment if you receive a prostate cancer diagnosis.

In the early stages of prostate cancer you may not experience symptoms, but as the disease progresses you may experience some or all of the following:

Frequent need to urinate

Difficulty starting or stopping urination

Sudden urge to urinate

Reduced flow of urine

Blood in urine or semen

Lower back pain or pain in the hip area

Unexplained weight-loss

Fatigue

Stages of prostate cancer

The TNM system is used to stage prostate cancer and define what your cancer looks like. The TNM stands for:

  • Tumour – The degree to which the tumour has affected other tissue

  • Node – Is a measure of whether lymph nodes have been affected

  • Metastasis – The degree to which the cancer has spread to other organs of the body

Along with the TNM information, your doctor will also take into consideration your PSA (prostate specific antigen) level from a blood test, as well as your Gleason score to help determine the stage of your cancer.  The Gleason score is usually based on the results of a biopsy of the prostate, and it provides an indication of how quickly the cancer will grow and spread.

  • Stage I

    The tumour is present in half or less than half of the prostate, and has not spread.

    Stage I prostate cancer illustration

  • Stage IIA

    The tumour may be present in more than half of the prostate, and has not spread.

    Stage IIA prostate cancer illustration

  • Stage IIB

    The tumour has not spread outside of the prostate.

    Stage IIB prostate cancer illustration

  • Stage III

    The tumour has spread beyond the outer layer of the prostate, but not to lymph nodes.

    Stage III prostate cancer illustration

  • Stage IV

    The tumour has spread to nearby tissues, lymph nodes or other organs of the body.

    Stage IV prostate cancer illustration

Treatment for prostate cancer

There are many different types of treatment for prostate cancer. Your treatment will depend on you and your cancer.

Frequently asked questions

Helpful links

Advanced prostate cancer and its treatment

Hear from Icon Cancer Centre Singapore Medical Oncologists Dr Shang Yeap and Dr Tan Yew Oo, alongside Urologist Dr Lewis Liew, as they discuss prostate cancer in Singapore and the types of treatments offered once the cancer has advanced.

Learn more

Singapore Cancer Society

Learn more about prostate cancer symptoms, causes and screening options.

Learn more

More information

Make an appointment

We're here to help you navigate this difficult time by offering both in-person and telemedicine consultations.

Enquire today
iStock image of a nurse holding a patient's hands for comfort | Icon Cancer Centre

Our doctors

Icon brings together some of the region's most experienced medical oncologists, radiation oncologists and haematologist.

Find a doctor

Medical concierge

Supporting patients who travel throughout the ASEAN region.

Get medical support

Your care team

Icon’s cancer care team are here to support you with compassion, knowledge and hope.

Meet our expert team