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Prostate Cancer

:: November 2009


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Highlighted Article

Report: Prostate cancer screening has yet to prove its worth “The recent release of two large randomized trials suggests that if there is a benefit of screening, it is, at best, small, says a new report in CA: A Cancer Journal for Clinicians. Authored by Otis W. Brawley, M.D. of the American Cancer Society and Donna Ankerst, Ph.D. and Ian M. Thompson, M.D. of the University of Texas Health Science Center at San Antonio, the review says because prostate cancer is virtually ubiquitous in men as they age, it is clear that a goal of "finding more cancers" is not acceptable. Instead, public health principles demand that screening must reduce the risk of death from prostate cancer, reduce the suffering from prostate cancer, or reduce health care costs when compared with a non-screening scenario. The authors suggest prostate cancer screening has yet to reach one of these standards to date. No major medical group, including the American Cancer Society, currently recommends routine prostate cancer screening for men at average risk. In the United States, prostate cancer will affect one man in six men during his lifetime. Since the mid-1980s, screening with the prostate–specific antigen (PSA) blood test has more than doubled the risk of a prostate cancer diagnosis. The review says a decrease in prostate cancer death rates has been observed since that time, but the relative contribution of PSA testing as opposed to other factors, such as improved treatment, has been uncertain.”

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Related Topics - Highlighted Articles

Prostatitis

Sexually transmitted diseases and other urogenital conditions as risk factors for prostate cancer: a case-control study in Wayne County, Michigan. (Cancer Causes Control. 2005) "Conclusions: Among all subjects, prostate cancer was associated with prostatitis and BPH history, but not with STD or vasectomy history."


Benign Prostatic Hyperplasia

Family history of cancer and the risk of prostate cancer and benign prostatic hyperplasia. (Int J Cancer. 2005) "Our study adds further information on the association of family history of cancer and risk of PC and is, to our knowledge, the first comprehensive epidemiologic information on family history of cancer and risk of BPH."

 

 

Diagnosis, Imaging, and Screening

 

General Information
Risk Factors

Red, processed meats linked to prostate cancer “Overall, the researchers found, the 20 percent of men with the highest intakes of red meat, which in this study included beef and pork, were 12 percent more likely than those who consumed the least to develop prostate cancer. That's after a range of other factors, like smoking, exercise habits and education, were taken into account. There was a stronger connection to advanced prostate cancer -- with that risk being almost one-third higher among those who ate the most red meat versus those who ate the least. Similar findings were seen with processed meat. But when the researchers broke the men's diet information down further, they found that red processed meats -- like bacon and red-meat sausage and hot dogs -- were related to higher prostate cancer risk, while white processed meats, like poultry cold cuts, were not. When it came to cooking methods, the only one that was linked to prostate cancer was grilling/barbecuing, Sinha's team found. The finding is in line with the theory that meats cooked at high temperatures may be particularly linked to cancer because the cooking process produces certain chemicals -- including polycyclic aromatic hydrocarbons (PAHs) and heterocyclic amines -- that are known to cause cancer in animals. Giving further support to that idea, the researchers found that higher dietary levels of a PAH called benzo-alpha-pyrene were related to a higher risk of prostate cancer. A similar pattern emerged when the investigators looked at men's intake of nitrites and nitrates -- chemicals used to preserve and flavor processed and cured meats like ham, bacon and sausage. In the body, nitrites and nitrates can promote the production of potentially cancer-promoting chemicals called nitrosamines.”

 

Risk Reduction

Moderate exercise may lower prostate cancer risk “ … For one, he noted, exercise has been shown to lower blood levels of testosterone and other hormones that may stimulate prostate tumor growth. Exercise is also believed to stimulate the immune system and the body's natural antioxidant mechanisms, both of which may help prevent the development of prostate cancer.”

 

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