Chemoprevention of Prostate Cancer

Author:

Vemana Goutham1,Hamilton Robert J.2,Andriole Gerald L.1,Freedland Stephen J.345

Affiliation:

1. Division of Urologic Surgery, Washington University School of Medicine in St. Louis, Siteman Cancer Center, St. Louis, Missouri;

2. Division of Urology, Department of Surgery, University of Toronto, Toronto M5G 2M9, Ontario, Canada;

3. Surgery Section, Durham VA Medical Center, Durham, North Carolina 27710

4. Duke Prostate Center, Division of Urology, Department of Surgery, Duke University School of Medicine, Durham, North Carolina 27710

5. Department of Pathology, Duke University School of Medicine, Durham, North Carolina 27710;

Abstract

Large prospective randomized trials, such as the Prostate Cancer Prevention Trial (PCPT), Reduction by Dutasteride of Prostate Cancer Events (REDUCE) trial, and Selenium and Vitamin E Cancer Prevention Trial (SELECT), have provided practitioners with considerable data regarding methods of treatment and prevention of prostate cancer. The best-studied medications for prevention are 5 alpha-reductase inhibitors. Their efficacy and side effects are well characterized. Other medications, dietary nutrients, and supplements have not been as well studied and generally do not demonstrate efficacy for disease prevention with an acceptable level of evidence.

Publisher

Annual Reviews

Subject

General Biochemistry, Genetics and Molecular Biology,General Medicine

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