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Prostate Cancer Prevention (PDQ®)     
Last Modified: 04/13/2006
Patient Version
Prostate Cancer Prevention

Significance of prostate cancer
Prostate cancer prevention

The prostate is a gland in males that is involved in the production of semen. It is located between the bladder and the rectum. The normal prostate gland is the size of a walnut and surrounds the urethra, the tube that carries urine from the bladder.

Significance of prostate cancer

Prostate cancer is the most common nonskin cancer among men in the United States. Although the number of men with this disease is large, the number of men who are expected to die of the disease is considerably smaller, since the majority of men diagnosed with prostate cancer do not die of it.

Prostate cancer prevention

Prostate cancer can sometimes be associated with known risk factors for the disease. Many risk factors are modifiable though not all can be avoided.

Age: The risk of developing prostate cancer increases as a man gets older.

Chemoprevention: Chemoprevention is the use of specific natural or man-made drugs, vitamins, or other agents to reverse, suppress, or prevent cancer growth. Several agents, including difluoromethylornithine (DFMO), isoflavonoids, selenium, vitamins D and E, and lycopene have shown potential benefit in studies. Further studies are needed to confirm this.

Diet and Lifestyle: The effect of diet on prostate cancer risk is under study. A diet high in fat, especially animal fat, may be associated with an increased risk of prostate cancer. More studies are needed to determine if a low-fat diet with more fruits and vegetables helps prevent prostate cancer.

Studies show that a diet high in dairy products and calcium may be linked to an increased risk of prostate cancer, although the increase may be small.

Hormonal Prevention: Studies are underway to discover the role of certain drugs, such as finasteride, that reduce the amount of male hormone as preventive agents for prostate cancer.

Race: The risk of prostate cancer is dramatically higher among blacks, intermediate among whites, and lowest among native Japanese. However, this increase in risk may be due to other factors associated with race. Studies have shown a link between levels of testosterone and prostate cancer risk, with black men having the highest levels.



Glossary Terms

bladder (BLA-der)
The organ that stores urine.
calcium (KAL-see-um)
A mineral found in teeth, bones, and other body tissues.
chemoprevention (KEE-mo-pre-VEN-shun)
The use of drugs, vitamins, or other agents to try to reduce the risk of, or delay the development or recurrence of, cancer.
diagnosis
The process of identifying a disease by the signs and symptoms.
diet
The things a person eats and drinks.
difluoromethylornithine
DFMO. A substance being studied in the treatment of cancer. Also called DFMO.
drug
Any substance, other than food, that is used to prevent, diagnose, treat or relieve symptoms of a disease or abnormal condition. Also refers to a substance that alters mood or body function, or that can be habit-forming or addictive, especially a narcotic.
finasteride (fi-NAS-ta-ride)
A drug used to reduce the amount of male hormone (testosterone) produced by the body.
gland
An organ that makes one or more substances, such as hormones, digestive juices, sweat, tears, saliva, or milk. Endocrine glands release the substances directly into the bloodstream. Exocrine glands release the substances into a duct or opening to the inside or outside of the body.
hormone (HOR-mone)
One of many chemicals made by glands in the body. Hormones circulate in the bloodstream and control the actions of certain cells or organs. Some hormones can also be made in the laboratory.
lycopene (LIE-kuh-peen)
A red pigment found in tomatoes and some fruits. It is an antioxidant and may help prevent some types of cancer.
preventive
Used to prevent disease.
prostate (PROS-tayt)
A gland in the male reproductive system. The prostate surrounds the part of the urethra (the tube that empties the bladder) just below the bladder, and produces a fluid that forms part of the semen.
prostate cancer (PROS-tayt KAN-ser)
Cancer that forms in tissues of the prostate (a gland in the male reproductive system found below the bladder and in front of the rectum). Prostate cancer usually occurs in older men.
rectum
The last several inches of the large intestine. The rectum ends at the anus.
risk factor
Something that may increase the chance of developing a disease. Some examples of risk factors for cancer include age, a family history of certain cancers, use of tobacco products, certain eating habits, obesity, lack of exercise, exposure to radiation or other cancer-causing agents, and certain genetic changes.
selenium (suh-LEE-nee-um)
A mineral that is needed by the body to stay healthy. It is being studied in the prevention and treatment of some types of cancer. Selenium is a type of antioxidant.
semen
The fluid that is released through the penis during orgasm. Semen is made up of sperm from the testicles and fluid from the prostate and other sex glands.
testosterone (tes-TOS-ter-own)
A hormone that promotes the development and maintenance of male sex characteristics.
urethra (yoo-REE-thruh)
The tube through which urine leaves the body. It empties urine from the bladder.
urine (YOOR-in)
Fluid containing water and waste products. Urine is made by the kidneys, stored in the bladder, and leaves the body through the urethra.
vitamin
A key nutrient that the body needs in small amounts to grow and stay strong. Examples are vitamins A, C, and E.
vitamin D
A nutrient that helps the body use calcium and phosphorus and make strong bones and teeth. It is found in fatty fish, eggs, and dairy products. The skin can also make vitamin D when exposed to sunshine. Not getting enough vitamin D can cause a bone disease called rickets. Vitamin D is being studied in the prevention and treatment of some types of cancer. Also called cholecalciferol.
vitamin E
A substance used in cancer prevention. It belongs to the family of drugs called tocopherols.