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Prostate cancer

  • Alternative Names

    Cancer - prostate; Biopsy - prostate; Prostate biopsy; Gleason score


    Prevention

    Following a vegetarian, low-fat diet or one that is similar to the traditional Japanese diet may lower your risk. This would include foods high in omega-3 fatty acids.

    Finasteride (Proscar, generic) and dutasteride (Avodart) are drugs used to treat benign prostatic hyperplasia (BPH).

    The American Society of Clinical Oncology (ASCO) and the American Urological Association (AUA) recommend that doctors discuss the pros and cons of these drugs with men who:

    • Have a PSA score of 3.0 or below
    • Are being screened yearly for prostate cancer
    • Do not yet show signs of prostate cancer

    Not all experts agree with this recommendation.


    References

    Andriole GL, Crawford ED, Grubb RI 3rd, Buys SS, Chia D, Church TR, et al. Mortality results from a randomized prostate-cancer screening trial. N Engl J Med. 2009;360:1310-1319.

    Babaian RJ, Donnelly B, Bahn D, Baust JG, Dineen M, Ellis D, et al. Best practice statement on cryosurgery for the treatment of localized prostate cancer. J Urol. 2008;180:1993-2004.

    NCCN Clinical Practice Guidelines in Oncology: Prostate cancer. V.2.2009. Accessed June 2009.

    Schröder FH, Hugosson J, Roobol MJ, Tammela TL, Ciatto S, Nelen V, et al. Screening and prostate-cancer mortality in a randomized European study. N Engl J Med. 2009;360:1320-1328.

    Walsh PC, DeWeese TL, et al. Clinical practice: localized prostate cancer. N Engl J Med. 2007;357(26):2696-2705.

    Walsh PC. Chemoprevention of prostate cancer. N Engl J Med. 2010 Apr 1;362(13):1237-8.

    Wilt TJ, MacDonald R, et al. Systematic review: comparative effectiveness and harms of treatments for clinically localized prostate cancer. Ann Intern Med. 2008;148(6):435-448.