Prostate cancer carries significant morbidity and mortality, but its o
utcome is difficult to predict in the individual. Androgen ablation de
lays progression in men, but hormone resistance soon develops and much
basic science research has focused on how prostate cancer 'escapes' h
ormonal control. Stem cell models of prostate development and homeosta
sis have been proposed, but have not yet been fully characterized. Som
e androgen-regulated signalling pathways and abnormalities that affect
them have been defined recently. It is apparent that locally produced
growth factors, often regulated by androgens, exert an effect both ph
ysiologically and pathologically and these too will be discussed.