When 58-year-old Mr. Chan was diagnosed with prostate cancer in early 2023, his world turned upside down. “I never thought it would happen to me,” he recalls. “I was healthy, active, and had no symptoms. It was only during a routine check-up that my doctor noticed something was wrong.”
Mr. Chan’s story is not unique. Prostate cancer is the third most common cancer among men in Hong Kong, yet many are unaware of its risks until it’s too late. Today, he shares his journey—from diagnosis to treatment—and how advances in medical care gave him a second chance at life.
The Diagnosis: A Life-Changing Moment
It all started with a routine blood test that revealed elevated levels of prostate-specific antigen (PSA), a marker for prostate cancer. Further tests, including an MRI-guided biopsy, confirmed the diagnosis. “I was shocked,” Mr. Chan admits. “But my doctor assured me that prostate cancer is treatable, especially when caught early.”
Dr. John Yuen, a urologist at Queen Mary Hospital, explains, “Early detection is key. Many patients, like Mr. Chan, have no symptoms initially. Regular screenings can save lives.”
General Urology Checkups for Early Detection
Prostate cancer often develops without noticeable symptoms in its early stages, making routine checkups essential. In Hong Kong, men over 50—or those with a family history of prostate cancer—are encouraged to undergo regular screenings.
PSA Blood Test:
- This simple blood test measures the level of prostate-specific antigen in the blood. Elevated levels may indicate prostate cancer.
- Cost: Approximately HK$500–HK$1,000 at private clinics or hospitals.
Digital Rectal Exam (DRE):
- A physical examination where the doctor checks the prostate for abnormalities.
- Cost: Typically included in a general urology consultation, which ranges from HK$800–HK$1,500 in private clinics.
MRI-Guided Biopsy:
- If PSA levels are elevated or the DRE reveals abnormalities, an MRI-guided biopsy may be recommended to confirm the diagnosis.
- Cost: Around HK$10,000–HK$20,000 in private hospitals.
These checkups are widely available in Hong Kong, with services offered at public hospitals, private clinics, and specialized centers like the Hong Kong Sanatorium & Hospital.
Navigating Treatment Options
Mr. Chan’s treatment journey began with robotic-assisted surgery, a minimally invasive procedure that removed the cancerous prostate gland. This advanced technique, available in Hong Kong hospitals like Hong Kong Sanatorium & Hospital, offers greater precision and faster recovery times. “The surgery was precise, and my recovery was faster than I expected,” he says.
However, post-surgery tests revealed that the cancer had spread slightly beyond the prostate. His medical team recommended a combination of radiation therapy and hormone therapy to target any remaining cancer cells. Radiation therapy, including techniques like intensity-modulated radiation therapy (IMRT), is widely available in Hong Kong and is known for its ability to deliver targeted treatment with minimal side effects.
The Role of Cutting-Edge Research
During his treatment, Mr. Chan learned about groundbreaking advancements in prostate cancer care. His oncologist, Dr. Michael Wong, introduced him to targeted therapies like PARP inhibitors, which are used for patients with specific genetic mutations. These treatments, available in Hong Kong, are part of a growing trend toward personalized medicine.
Dr. Wong also discussed immunotherapy, which uses the body’s immune system to fight cancer. Drugs like pembrolizumab have shown promise in treating advanced prostate cancer and are accessible in Hong Kong through clinical trials and specialized treatment centers.
“Dr. Wong explained that these treatments target the cancer more precisely, with fewer side effects,” Mr. Chan says. “It gave me hope that even if the cancer returned, there were new options to fight it.”
General Expenses for Prostate Cancer Treatment
The cost of prostate cancer treatment in Hong Kong varies depending on the stage of cancer and the type of treatment required:
Surgery (Robotic-Assisted):
- Cost: Approximately HK$150,000–HK$300,000 in private hospitals.
Radiation Therapy:
- Cost: Around HK$100,000–HK$200,000 for a full course of treatment.
Hormone Therapy:
- Cost: Monthly expenses range from HK$5,000–HK$10,000 for medication.
Targeted Therapies and Immunotherapy:
- Cost: These advanced treatments can cost HK$20,000–HK$50,000 per month.
Coverage by International Health Insurance
Most international health insurance plans cover prostate cancer screenings, diagnostics, and treatments. This includes:
- PSA tests and urology consultations.
- Robotic surgery and radiation therapy.
- Medications such as hormone therapy, targeted therapies, and immunotherapy.
However, coverage may vary depending on the policy. It’s essential to review your insurance plan to ensure it includes cancer care and pre-existing conditions.
Life After Cancer: A New Perspective
Today, Mr. Chan is cancer-free and living life to the fullest. He’s become an advocate for prostate cancer awareness, encouraging other men to get screened regularly. “I want others to know that a diagnosis isn’t the end—it’s the beginning of a fight you can win,” he says.
He’s also embraced a healthier lifestyle, incorporating exercise and a balanced diet into his daily routine. “Cancer taught me to appreciate every moment and take better care of myself,” he reflects.
A Message of Hope
Mr. Chan’s journey is a testament to the power of early detection, advanced treatments, and unwavering resilience. His story reminds us that prostate cancer, while daunting, is not unbeatable.
“To anyone facing this diagnosis, I say this: You’re not alone,” Mr. Chan emphasizes. “With the right care and support, you can overcome it.”
For more information on prostate cancer screening and treatment in Hong Kong, visit the Hong Kong Cancer Fund or consult your healthcare provider.
