Which of the following facts is true regarding prostate cancer?

The statement regarding prostate cancer being often asymptomatic in early stages is accurate. Prostate cancer typically develops slowly and may not present any noticeable symptoms in its early stages, which is a crucial aspect of the disease. Many men might not realize they have prostate cancer until it is detected through screening methods, such as prostate-specific antigen (PSA) testing. Because there are usually no overt symptoms initially, routine screenings are often recommended, especially for men over the age of 50 or those at higher risk due to family history or race.

In contrast, the other statements do not accurately reflect the nature of prostate cancer. It is not the leading cause of cancer-related death in men; diseases such as lung cancer hold that unfortunate distinction. While prostate cancer has a relatively high survival rate compared to many other cancers, it does not have the highest survival rate among all cancers. Lastly, it is more common in older men, particularly those over 65, rather than in men under 50, making option D the most accurate statement regarding the characteristics and early presentation of prostate cancer.