Prostate cancer: chemoprevention update 2005

Neil Fleshner1, Rami Al Azab

  • 1Department of Surgery (Urology), University Health Network and University of Toronto, Toronto, Ontario, Canada.

Abstract

Insights

Agents that slow prostate cancer growth show promise for prevention. While finasteride is the only proven agent, ongoing trials will clarify the roles of soy, vitamin E, and selenium in prostate cancer chemoprevention.

Area of Science:

  • Oncology
  • Urology
  • Preventive Medicine

Background:

  • Agents slowing prostate cancer cell growth may serve as adjuncts to standard treatments like surgery, radiation, or chemotherapy.
  • The potential for chemoprevention strategies in prostate cancer management is an active area of research.

Purpose of the Study:

  • To evaluate the efficacy of various agents in preventing prostate cancer.
  • To identify agents that can be used as chemoprevention strategies for prostate cancer.

Main Methods:

  • Review of existing evidence on prostate cancer chemoprevention.
  • Identification of agents with demonstrated effects on prostate cancer cell growth.
  • Highlighting ongoing randomized trials assessing chemoprevention agents.

Main Results:

  • Currently, only finasteride meets the criterion for Level-1 evidence in prostate cancer chemoprevention.
  • Several agents, including soy, vitamin E, and selenium, are under investigation.

Conclusions:

  • Effective chemoprevention strategies for prostate cancer hold significant promise.
  • Well-designed randomized trials are crucial for definitive evidence and are expected to yield results within 2 to 8 years.

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