Excerpts on Detection/Prevention/NO Racial Differences

Combating Prostate Cancer Early detection, preventive measures make this a very treatable form of cancer

By John Reinan HealthScoutNews Reporter

The prostate is a walnut-size gland located just below a man's bladder. Its function is to produce fluids used in semen.

Prostate cancer is a leading cause of cancer death among U.S. men, second only to lung cancer. About 198,000 new cases are expected this year, and about 31,500 deaths.

Millions of men have early stage prostate cancer without ever realizing it. Autopsy results on men over the age of 80 reveal that 75 percent show evidence of prostate cancer.

Physicians must do their part, experts say, by actively encouraging their male patients to get tested for prostate cancer starting at age 50.

African-American men, or men who have a history of prostate cancer in their family, should be tested even earlier -- beginning at age 40.

African-American men are about 1.5 times as likely to be diagnosed with prostate cancer as Caucasian men, and about twice as likely to die from the disease.

But a new study to be released this fall may show that the difference stems from poor access to medical care, not from any genetic tendencies.

The study, to be published in the journal Cancer, shows that the U.S. military has almost eliminated the disparity between white and black prostate-cancer rates.

"In the military, we have gotten aggressive about offering the PSA test," Moul says. "And everyone has equal access to health care."


It's unclear whether there are ways to specifically prevent prostate cancer. However, doctors say that a common-sense approach to diet and exercise can lower the risk of all cancers, including prostate.

"There is pretty good evidence that diets high in red meat and dairy are linked to increased risk of prostate cancer," says Dr. Durado Brooks, director of prostate cancer programs for the American Cancer Society.

"And there is some decent evidence that diets high in vegetables lead to some decrease in the risk," he adds.

Potential prostate-cancer fighters include grapefruit, tomatoes and watermelon.

Federally funded studies are under way to determine whether other substances can fight prostate cancer. Preliminary results show some promise for vitamin E and the mineral selenium.

In the meantime, stick to the basics and you can't go wrong.

"The way I prefer to couch it is that we have sufficient evidence that a diet low in red meat and dairy, high in vegetables and a regular active lifestyle promotes health in general," says Brooks.

"Those elements seem to decrease your risk of other types of cancer, and they may impact prostate cancer," he adds.

Race/Ethnicity & Watchful Waiting:Prostate Ca

J Gen Internal Med, 2/04

Race/Literacy Effects on Prostate Ca Biology & Access

Abstract #6019 ASCO, 2004

Race & Prostate Ca:Attitudes on Diagnosis/Treatment
Racial Disparity of Epidermal Growth Factor Receptor
Black Men and Prostate Cancer - Update 6/06

Various sources, June 2006

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