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Semin Urol Oncol. 1998 Nov;16(4):221-6.

Prostate cancer in the African American: is this a different disease?

Author information

1
Department of Urology, Wayne State University, Detroit, MI 48201, USA.

Abstract

Age-adjusted mortality rates from prostate cancer between 1991 and 1995 are approximately two times worse among African-American men than Caucasian men. Age-specific mortality rates from prostate cancer are reported to be three times greater among African-American men compared with Caucasian men between the ages of 40 and 60 years. These statistics lead one to ask whether the difference in outcome is secondary to a more rapidly growing prostate cancer among African-American men compared with Caucasian men, or is it a result of delayed diagnosis among African-American men, which would account for there being more advanced prostate cancer at presentation? This report demonstrates many histological and biological differences that may account for clinical outcome differences.

PMID:
9858329
[Indexed for MEDLINE]

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