Prostate cancerProstate cancer is an age-related disease. Every man would be diagnosed with prostate cancer, except that most men do not live long enough, dying from other age-related diseases. The frequency of prostate cancer detected by autopsy is 30-fold higher than mortality from prostate cancer so that "more men die with prostate cancer than because of it" [1]. Among men aged 70-79, a tumor is found by autopsy in 36% of Caucasians and 51% of African-Americans [1,2]. The older the man, the higher frequency of autopsy-detected prostate cancer. The frequency of high-grade prostate cancer doubles every ten years [1].Puberty is critical for susceptibility to prostate cancer later in life [3]. Older age at sexual maturation is linked to a decreased risk of prostate cancer later [4,5]. Thus, prostate cancer is partially quasi-programmed (it will be discussed later) in puberty and would develop almost in everyone, if other causes of death did not exist.
Prostate enlargement or BPHBenign prostatic hyperplasia (BPH) is the most common age-related disease in men. An enlarged prostate can block the urethra, leading to an inability to urinate and kidney damage and, if left untreated, to death. Benign prostatic hyperplasia can be detectable by the age of 30. Between 30 and 50 the prostate grows in size, with a doubling time of 4.5 years. Between 51 and 70 years old, the doubling time is around 10 years [6]. Thus, the prostate is enlarged in every aging man, and therefore it is a "normal" disease, occurring in everyone, often asymptomatic.Early in puberty, the prostate doubles in size, and its secretory function is increased to produce prostate fluid. During puberty, the prostate reaches the required size and function, but it continues to grow without purpose, becoming eventually hypertrophic, hyperplasic and hyper functional. The disease is quasiprogrammed, a continuation of the developmental growth and reproductive program that was not switched off upon its completion. Quasi-programs are purely harmful and unintended by nature, but they are a continuation (or a byproduct) of essential programs, so natural selection is powerless to eliminate them. (Note: The force of natural selection is negligible late in life, so selection is very weak against quasiprograms. Natural selection is maximally strong for growth and reproductive programs, and quasiprograms are by-products).