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Prostate Cancer

Prostate cancer is the most common type of cancer in men. One in every eight men in the United States will develop the disease. About 80 percent of all cases occur after age sixty-five, and about 80 percent of all men have some degree of prostate cancer by age eighty. Rates are higher among African-Americans than among members of other ethnic groups.

The prostate is a walnut-sized gland that encircles the urethra, the tube through which urine passes. This gland produces the seminal fluid, which forms the bulk of the ejaculate. Both prostate cancer and benign prostate enlargement have the same symptoms: difficulty passing urine, frequent urination and getting up at night to urinate, pain or burning sensation during urination, blood in the urine, and pain in the lower back or pelvis. Such symptoms should always be brought to a doctor's attention.

More prostate cancers are now detected at earlier stages because of prostate-specific antigen (PSA) test. This blood test measures levels of a protein produced by the prostate.

Normally, PSA levels are very low, but they rise if a prostate disorder such as benign enlargement, infection, or cancer is present. The PSA test does not detect cancer as such, only high levels of PSA.

The exact cause of prostate cancer is unknown, although there is evidence that a high-fat diet may play a role in promoting its development. Recurring prostate infections and a genetic predisposition to prostate cancer are also possible factors. It is known that testosterone, a male sex hormone, stimulates the growth of both the prostate itself and any cancer cells it may contain.

Once prostate cancer is diagnosed, it is classified into stages, using one of several staging systems, based on how aggressive it is and how far it has spread. Prostate cancer spreads first to the lymph glands, and then to the bones, lungs, liver, or bladder.

A number of conventional treatments are used for prostate cancer. Herbal medicine should always be used as part of a medically directed comprehensive treatment plan for this disorder.

Supplements and herbs

  • Damiana capsules or tincture. Take as directed on the label.
    Has ability to balance hormone and glandular function.
  • Milk thistle silymarin gel-caps. Take 360 mg daily.
    May slow growth of cancers that do not respond to hormone treatment.
  • Polysaccharide kureha (PSK) tablets. Take 6,000 mg daily.
    Reduces rate at which prostate cancer spreads to the lungs.
  • Red wine catechins Resveratrol tablets. Take 125-250 mg 3 times daily.
    Stops cellular processes that cause tumor development and growth.
  • Saw palmetto capsules. Take 160 mg twice daily.
    Pygeum capsules. Take 50-100 mg and twice daily.
    Zinc picolinate tablets. Take 50-100 mg twice daily.
    Control inflammation caused by prostate cancer. Do not affect the cancer itself.
  • Soy isoflavone concentrate tablets. Take 3,000 mg daily.
    Slows tumor growth; reduces risk of spread to lungs.
  • Turmeric curcumin. Take 300 mg twice daily, between meals, for 6 months.
    Activates p53, a cancer control gene important in 50 percent of cases; slows spread of prostate cancer to bone.

HERBS TO AVOID - Men who have prostate cancer should avoid the following herbs: American ginseng, cinnamon, cordyceps, ephedra, epimedium, ginseng, sarsaparilla, and Siberian ginseng. Suma (Brazilian ginseng) and horsetail also should be avoided.

What else you can do

  • Eat at least two servings of cooked tomatoes weekly. Tomatoes are a rich source of lycopene, which thirty-five scientific studies have found to lower prostate cancer risk. In men who have low lycopene levels, prostate cancer is likely to be especially aggressive. Lycopene is nearly four times more readily available to the body from tomato paste than from fresh tomatoes. Since lycopene is fat-soluble, it is better to prepare the tomatoes with a small amount of vegetable oil (pumpkin seed oil would be best), although this is not a license to consume unlimited quantities of any fatty food, such as pizza, as long as it contains some tomatoes. Lycopene is also found in red grapefruit and watermelon, and in smaller quantities in crab and lobster.
  • Take 200 to 800 international units of vitamin E daily. Vitamin E activates the cancer-fighting properties of lycopene. Make sure to take vitamin E supplements rather than relying on dietary vitamin E in eggs and nuts. Only alpha-tocopherol, rather than the other tocopherols also found in food-derived vitamin E, has this effect.
  • Whenever possible, get twenty to thirty minutes of sunlight exposure every day (but be sure to avoid heat stress). Sunlight helps the skin manufacture vitamin D, which halts the growth of prostate cancer cells. Vitamin D is especially important in controlling prostate cancers that are not stimulated by testostrone. When it is not possible to get sun, take from 200 to a maximum of 1,000 international units of supplemental vitamin D daily.
  • Eat five to seven weekly servings of foods rich in vitamin A; this includes green leafy vegetables, and orange and yellow fruits and vegetables. Beta-carotene from these foods compensates for low tissue levels of lycopene, and works with vitamin D to stop the proliferation of prostate cancer cells.
  • Take any supplement containing inositol or inositol hexaphosphate (IP 6).
  • Take 150 to 200 micrograms of selenium daily. Prostate cancer progresses more rapidly in men with low selenium levels.
  • Drink at least eight glasses of water daily. Dehydration stresses the prostate gland.
  • Avoid animal fat, especially red meat, eggs, and dairy foods. Prostate cancer tends to progress more quickly when animal fat is consumed, but less quickly when vegetable fats and omega-3 fatty acids are consumed.
  • Avoid cholesterol-lowering products made from concentrated beta-sitosterol. These products contain large amounts of campesterol and stigmasterol, which are associated with an elevated risk of developing prostate cancer and probably should be avoided if cancer is present.
  • Consume freshly made vegetable and fruit juices daily. Carrot and cabbage juices are good choices.
  • Use cold-pressed organic oils such as sesame, safflower, or olive oil to obtain essential fatty acids.
  • Eat two to three servings a week of cold-water fish (such as salmon, tuna, or mackerel), or supplement your diet with flaxseed oil, MaxEPA, fish oil, or vegetarian DHA (such as Neuromins). Borage or evening primrose oil will also be helpful.
  • Conventional medicine uses a variety of treatments in prostate cancer. In some elderly men with localized, slow growing tumors, treatment consists of simply watching the cancer carefully, and treating it if it spreads. For others, various types of surgery may be appropriate, ranging from complete removal of the prostate to removal of tissue through a tube passed up the urethra. While chemotherapy is not often employed, radiation therapy is used to slow the cancer's spread. Impotence and incontinence are potential side effects of these therapies. Prostate cancer is often treated with hormonal therapy, which attempts to reduce the effect testosterone has on the prostate. Medications called LHRH stimulants reduce the concentration of testosterone in the bloodstream to very low levels. However, they also can cause breast pain, impotence, loss of sex drive, and hot flashes.
  • The introduction of the prostate-specific antigen (PSA) test has led to a jump in prostate cancer diagnoses. This test-which should be done annually, along with a digital exam, on all men over age forty-five-provides an early warning system for the potential development of cancerous growths in the prostate. PSA readings can produce false positive results; simply taking the blood sample for the PSA test a few minutes after a digital exam of the prostate can raise PSA levels. A more sensitive PSA test is now available that can rule out cancer, even if PSA levels are elevated, by comparing "total" PSA to "bound" PSA. If the doctor is performing both a rectal exam and a PSA screening, it is important to have the blood drawn for the PSA test before the rectal exam. It is important that the doctor forms a diagnosis from more information than just the PSA test. Most physicians make a decision to treat prostate cancer on the basis of PSA, digital examination, and ultra-sound.
  • For reasons that are not completely understood, nonfat milk products are even more clearly associated with increased risk of prostate cancer than animal fats.
  • Diets rich in soy products are associated with lower rates of prostate and other cancers, and genistein, a soy component, inhibits prostate cancers not stimulated by testosterone. Soy foods include miso and tofu.
  • Excess dietary calcium may increase the risk of prostate cancer. This may be because calcium can reduce the levels of vitamin D, which halts the growth of prostate cancer cells.
  • If the cancer has spread into the capsule of the gland, the standard approach is some form of radiation therapy. Radiation therapy results in impotence about 50 percent of the time. It can also adversely affect the bladder and rectum.

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