Advertisement
UKExplainer

Prostate cancer: explained

What is prostate cancer and why early diagnosis matters, using Jeremy Clarkson's story as an example.

UK

Prostate cancer: explained

Jeremy Clarkson, the 66-year-old former Top Gear presenter, recently announced he is in remission from prostate cancer, calling himself “the world’s luckiest man”. His diagnosis was caught early after a routine medical check in May 2025, and he now urges others to get tested, noting that around 12,000 men in the UK die from prostate cancer every year.

Prostate cancer is a disease that begins in the prostate gland, a small walnut-shaped organ in men that produces seminal fluid. It is one of the most common cancers in men, but because it often grows slowly, many men live for years without symptoms or problems. However, some forms – like the “aggressive” type Clarkson had – can spread quickly to other parts of the body if not caught early.

What is prostate cancer and why early diagnosis matters, using Jeremy Clarkson's story as an example.

Clarkson’s story highlights the importance of screening. In the UK, there is no national screening programme for prostate cancer, but men over 50 can request a PSA blood test from their GP. The test measures prostate-specific antigen, a protein produced by the prostate; high levels can indicate cancer, though other conditions can also raise PSA. If the test is abnormal, a biopsy may be performed to confirm the diagnosis.

Advertisement

For UK men, the stakes are personal. Prostate cancer is the most common cancer in British men, with around 52,000 new cases each year. While many men with slow-growing tumours may never need treatment, aggressive forms require prompt action. Clarkson underwent a procedure where 10% of his prostate was removed via ultrasound – a technique that can treat localised cancer. He now has regular blood tests and knows there is a 40% chance of recurrence, but he chooses to focus on the 60% who don’t.

The key message from Clarkson’s experience is that early detection saves lives. He told the Times: “This is why I have to say to everybody … please, please, please go and get checked. It’s not uncomfortable, it’s not undignified. And it’s a no-brainer.” His diagnosis was made during a routine medical, and because it was caught early, treatment was successful.

Q: What are the symptoms of prostate cancer? Early prostate cancer often has no symptoms. When symptoms do occur, they can include needing to urinate more frequently, especially at night, difficulty starting or stopping urination, weak flow, or blood in urine or semen. Many of these can also be caused by non-cancerous conditions like an enlarged prostate.

Advertisement

Q: Who should get tested for prostate cancer? Men over 50, black men (who have a higher risk), and those with a family history of prostate cancer should talk to their GP about a PSA test. The NHS offers PSA testing to asymptomatic men upon request, but does not have a formal screening programme.

Q: How is prostate cancer treated? Treatment depends on how aggressive the cancer is and whether it has spread. Options include active surveillance (monitoring slow-growing cancers), surgery to remove the prostate, radiotherapy, hormone therapy, or in Clarkson’s case, targeted ultrasound to remove part of the gland.

What happens next: Clarkson continues filming the sixth series of Clarkson’s Farm, having returned to work after his treatment. He will have regular PSA tests to monitor for recurrence. Meanwhile, public health advocates hope his high-profile case will encourage more men to get tested, potentially reducing the 12,000 annual deaths from prostate cancer in the UK.

Advertisement
Advertisement