Illnesses

Prostate Cancer

"Knowledge Equals Survival."
From Man To Man: Surviving Prostate Cancer by Michael Korda.

"Prostate cancer does not kill. Ignorance kills."
From New Guidelines for Surviving Prostate Cancer by James Lewis, Jr., Ph.D. and E. Roy Berger, M.D.

If you are diagnosed with prostate cancer, you are likely to be given incomplete and conflicting information by the doctors you consult. Urologists will recommend surgery; radiologists will recommend radiation. And there are other choices. You must become knowledgeable about prostate cancer in general and your case in particular. The more you read and talk to prostate cancer survivors, the better.

Alternative cancer treatments are controversial. There are no easy answers, so do your own research, and consult your doctor(s). SavvyPatients.com does not endorse any particular treatment mentioned in the articles presented here.

BACKGROUND INFORMATION

Pros and Cons of Researching Your Cancer
by Steve Dunn

Diagnosis: Cancer, Some Doís and Doníts
by CANHELP
Ten Strong Suggestions on How to Cope with Cancer.

Prostate Cancer Glossary of Terms

Medical Miranda for the Prostate Cancer Patient
from the US TOO Prostate Cancer Communicator
"You have the right to know your prognosis. You have the right to understand principles of evaluation and treatment. You have the right to be familiar with the pros and cons of available treatment options."

Prostate Cancer Overview
from the American Cancer Society
Good background information.

Johns Hopkins' Approach to Prostate Cancer
"For nearly a century marked by painstaking, pioneering research, scientists at the Brady Urological Institute have led the world's efforts to diagnose and treat prostate cancer. But despite tremendous success there is probably no single "magic bullet" that will cure the disease in every man. Instead, we have developed a four-pronged approach for saving lives through discovery."

Prostate Cancer Overview
from the Life Extension Foundation
Detailed.   Recommended.

Dealing with the Prostate
by Ronald Hoffman, M.D.

Gleason Grade - the Pathology Report
by Robert S. Gould, M.D. as reprinted in Cancerlinks

Prostate Cancer Screening: More Harm Than Good?
by Michael L. Lefevre, M.D.
"The official clinical guideline of the American Academy of Family Physicians recommends counseling men between the ages of 50 and 65 about the known risks and uncertain benefits of screening for prostate cancer. This certainly seems a prudent course to follow. Men deserve sufficient information to allow them to make an informed, personal decision."

Prostate Cancer Decisions Often Based on Fallacies
by Nicholas Bakalar
"Newly published research suggests that men who learn they have prostate cancer decide on a treatment quickly, base their decisions on anecdotes or inaccurate impressions, and stick with their decisions even when given scientific information that might cause them to change their minds."

Treatment Options for Prostate Cancer
from PSA Rising
"Choosing the best treatment for your prostate cancer means doing your homework and building a team of experts.  Unfortunately, many men never go beyond the advice of the first doctor to diagnose their condition.  Get second opinions (most insurance cover this), get third opinions.  Get you pathology slides re-read by an expert so you and the doctors know what you're dealing with."

CAUSES/RISK FACTORS/PREVENTION

Heart Disease Gene Linked to Prostate Cancer
from Johns Hopkins
"This is the first time that MSR1 has been linked to cancer, and it may tie infections and similar environmental exposures to cancer of the prostate in a way that we havenít thought about before," says William B. Isaacs, Ph.D., professor of urology and oncology at the Brady Urological Institute and Kimmel Cancer Center at Johns Hopkins.

Prostate Cancer: Causative Factors
by Linda Lazarides
Abstracts of Journal Articles Linking Diet to Prostate Cancer.

Green Tea for Prostate Health
from WholeHealthMD.com
"Men who enjoy the mellow flavor and soothing ritual of green tea breaks throughout the day may also be lowering their risk of prostate cancer. Mounting scientific evidence indicates this humble beverage harbors powerful antioxidants called polyphenols, which may be even more potent than vitamin C and vitamin E in their ability to mop up potentially cancer-causing free radicals."

Family History Of Breast Cancer May Increase Risk Of Prostate Cancer
from the Doctor's Guide
"A new study from researchers at the American Cancer Society suggests that men with mothers or sisters who have had breast cancer may have an increased risk of dying from prostate cancer."

Researchers Discover Strongest Known Risk Factor For Prostate Cancer
from the Doctor's Guide
"We are excited about these results because this is one of the first studies showing clinical evidence of a relationship between IGF-1 levels and cancer," said Dr. Michael Pollak, professor of medicine and oncology at McGill University. "Until now, researchers interested in prostate cancer risk factors have focused on male hormones such as testosterone, but these results open up a whole new direction of research."

Protein May Fight Prostate Cancer
by Gina Kolata in the New York Times
"A group of scientists at EntreMed, a biotechnology company in Rockville, Md., say the prostate protein -- prostate specific antigen, or PSA -- may actually be used by the body to fight cancer."

Nutrients in the Chemoprevention of Prostate Cancer
by Nagi B. Kumar and Karen Besterman-Dahan
Phytoestrogens/isoflavones, vitamins D and E, selenium, and lycopene have been identified as promising nutrients in the role of chemoprevention of prostate cancer.

Optimum Nutrition and Lifestyle for Fighting Prostate Cancer
by Doug Kelly, M.D.
"Prostate cancer is a modern disease, much more common now than it was 50 years ago, and largely caused by what we eat, and how we live. By optimizing health, and reversing the conditions which lead to the development of prostate cancer, we would expect to at least see a slowing of the cancer, and improved cancer control."

Prostate Cancer and Indole-3-Carbinol
from Life Extension Foundation

Nutrition and Prostate Cancer
from Prostate Cancer Foundation

Articles and Press Releases

Screening For Prostate Cancer in American Men
American College of Preventive Medicine

PSA Use Sharply Questioned
by Ralph Moss, Ph.D.

Protein Patterns in Blood May Predict Prostate Cancer Diagnosis
National Cancer Institute

New Study Finds Vasectomy Does Not Increase Prostate Cancer Risk
National Institutes of Health

Largest-Ever Prostate Cancer Prevention Trial Opens: 32,000 Men Sought to Test Vitamin E and Selenium
National Cancer Institute

Gene Discovery May Help Predict Prostate Cancer Risk
American Cancer Society

PATIENTS' STORIES

Taking on Prostate Cancer
by Andy Grove
"Investigate things, come to your own conclusions, don't take any one recommendation as gospel. For starters, know where your case fits in the Johns Hopkins tables -- this tells you volumes about your condition."
Recommended

Save Your Love Life After Prostate Cancer Recovery
by Keith and Virginia Laken

Patients Treated With Non-Toxic Therapies and Nutrition
from Cancer Control Society
These patients have generously agreed to share their experiences.

TREATMENTS/THERAPIES

Tips From CancerGuide by Steve Dunn

Second Opinions: Why, When, and Who

Alternative Therapies: Hope or Hype?



New Test Better at Detecting Spread of Prostate Cancer Cells
article in the Doctor's Guide
"This new test will help us determine which patients should undergo surgery," says Stephen Jacobs, M.D., professor of surgery and head of urology at the University of Maryland Medical Center. "If the cancer has spread, surgical removal of the prostate would not cure the disease. Patients whose cancer has spread outside the prostate gland may benefit from radiation therapy. And if cancer is evident in the lymph nodes outside of the pelvis, hormonal therapy may be the best treatment," says Dr. Jacobs.
Radical Prostatectomy

Web Site of Patrick C. Walsh, M.D.

Surgical Removal Seems Best Treatment For Prostate Cancer
from Johns Hopkins
Their conclusion is that surgery is better than radiotherapy.

Response to an Editorial in the Journal Urology
by Bob Leibowitz, M.D.
"I have asked myself how it is that urologists can still recommend radical prostatectomy in spite of the fact that the Smith editorial states there is an absence of positive data."    Long, thoughtful letter.   Recommended

Prostate Cancer: Who Should Be Treated?
by Thomas A. Stamey, M.D.
"About 50,000 radical prostatectomies were done in the U.S. in 1991 and 100,000 in 1993. To the extent that perhaps as many as 50% of these procedures are either unnecessary (the cancer is too small) or ineffective (surgical excision of the prostate fails to cure the patient of his cancer), they represent an enormous cost to an already overburdened health care system." When he wrote this article in 1995, Dr. Stamey was Professor and Chairman of the Department of Urology Stanford University School of Medicine.

Surgery Cuts Risk of Death from Prostate Cancer
Other Options Still Better For Some Men
from American Cancer Society

Radiation Therapy

Radiation Therapy
from Life Extension Foundation
"Natural supplements may reduce side effects and damage caused by radiotherapy. In addition, they may aid in the selective destruction of cancer cells and protection of healthy body tissue."

Intensity Modulated Radiation Therapy For Prostate Cancer Has Fewer Side Effects
from Doctor's Guide
"Patients undergoing therapy for organ confined prostate cancer no longer have to suffer from side effects such as rectal bleeding and diarrhea."

Radiotherapy, Surgery Equally Effective For Localized Prostate Cancer
from American Cancer Society
"Surgical removal of the prostate and external beam radiotherapy have equal eight-year, biochemical free relapse rates in men with localized prostate cancer," said study author, Patrick A. Kupelian, MD, at the Cleveland Clinic.

Hormone-Blocking Therapy

Alternative Approaches to Prostate Cancer
by Michael Schachter, M.D.
"All prostate cancer patients should use alternative cancer therapies. In general, they should be used prior to beginning conventional treatment. When the prostate cancer patient is receiving conventional treatment, he should also incorporate alternative therapies in order to reduce the side effects of conventional treatment, improve the results, and possibly allow the patient to be able to discontinue the conventional treatments."

Intermittent Androgen Suppression in the Treatment of Prostate Cancer: A Review
by Andrew M. Evens, et al.
"IAS has been shown to be feasible, and the preliminary studies show that it is equivocal and possibly superior to permanent androgen blockade. IAS should cost less and may offer reduced overall toxicity and an improved quality of life for the man with metastatic prostate cancer."

Cryosurgery

Cryosurgical Ablation of the Prostate
Q&A from the New England Medical Center

Cryosurgery in the Treatment of Prostate Cancer
by Duke K. Bahn, M.D.
"Cryosurgery appears to be more effective than current standard treatment options. The complication rate was also lower in this series. It is also a promising modality in patients who are radiation therapy failures. Long term follow-up is still lacking with this proceedure. Unfortunately, it will take about five to ten year before we know the true efficacy of this treatment. A long term study is now in progress."

Cryosurgery More Effective in Treating Some Prostate Cancer
from Doctor's Guide
"According to Dr. Cohen, ideal candidates for prostate cryosurgery are between 60 and 70 years of age and have advanced localized cancer of the prostate."

New Cryosurgery Technique 97% Effective In Prostate Cancer
from Doctor's Guide
"Targeted cryosurgery is a minimally invasive one- to two-hour procedure that enables physicians to precisely freeze and destroy cancerous tissue in and around the prostate gland."

PC-SPES

PC SPES, Herbal Compound, Lowers PSA in Men With Advanced Prostate Cancer, UCSF Study Finds
from PSA Rising

PC SPES Trial Halted, Doctors Say Prostate Cancer Herbal Product Contains Synthetic Estrogen
from PSA Rising

Questionable Cancer Therapies: PC-SPES
by Subhuti Dharmananda, Ph.D.

PC-SPES Taken Off the Market
from American Cancer Society

Other Treatments

Alternative Cancer Therapies
from Wellness Directory of Minnesota
Descriptions of many alternative cancer treatments and links to further information.

The Dietary-Prostate Connection
from Intelihealth.com

Bill Henderson's Approach
from Annie Appleseed Project

Late Stage Prostate Cancer
from Life Extension Foundation
"CAUTION: Some readers will find this protocol technically challenging. It is written for both the patient and the attending oncologist."

OTHER RESOURCES

See also Cancer Politics in this web site.

Things to Do For Cancer Patients
by Carol and Lee Law

Cancer Resource Center
from The American Cancer Society

National Library of Medicine MedLine Access

Hints on Using PubMed and MedLine by Helen Stanbro
From Steve Dunn's CancerGuide

Medical Search Services

Medical Search Services - Advantages and Disadvantages
from CancerGuide
"One way to get technical information on your cancer is to pay a professional search service to search medical databases for you. This has both advantages and disadvantages. The main advantage is that you get the expertise of someone who knows how to search. This means that you can be sure you will not fail to get the information you are seeking because of your inexperience in using medical databases - using a medical database effectively is a skill which sometimes rises to the level of an art. Using a search service also means that you don't have to spend your precious time learning how to use a medical database.

One disadvantage is cost. You may pay up to several hundred dollars for a professional search when you could probably do it yourself cheaper."

SERVICES SPECIALIZING IN CONVENTIONAL THERAPIES

Cancer Advisors
"We offer you a medical resource that makes the search for appropriate clinical trial options less difficult and more reliable, based on unbiased advice from experienced oncologists, professional research, and cutting-edge technologies."

Schine On-Line Services
"Schine On-Line Services, Inc., founded by cancer survivor Gary Schine, author of Cancer Cure, gathers information on any and all types of cancer or other illness directly for clients. Our researchers have extensive on-line experience, training from the National Library of Medicine, and other medical database training. We can search the databases for you and provide a report of the current developments in treatment and clinical trials of your particular illness."

SERVICE PROVIDING INFORMATION ON BOTH CONVENTIONAL AND ALTERNATIVE THERAPIES

The Health Resource
"The Health Resource is a medical information service whose expert medical researchers are here to help you and your loved ones learn about all the treatment options for your cancer or other medical condition."

SERVICES SPECIALIZING IN ALTERNATIVE THERAPIES

CANHELP
"CANHELP assists you and your family in making informed, intelligent cancer treatment decisions. We search the world for cutting-edge, conventional and alternative therapies for all types of cancers including the common cancers such as breast, colon, and prostate as well as rare cancers such as carcinoids, Ewing sarcoma etc."

The Moss Reports on Cancer
"Ralph W. Moss, Ph.D. writes detailed reports on optimal treatment for nearly every cancer diagnosis and situation. Many people have found these reports to be an extremely helpful way of rapidly gaining knowledge in a difficult field."

Patient-Matching Services

M. D. Anderson Support Network
Phone: 800 345-6324. They will try to match callers with cancer survivors in their data base.

Association of Cancer Online Resources Mailing Lists
"The ACOR lists are a group of free, unmoderated discussion lists for patients, family, friends, researchers, and physicians, to discuss clinical and non-clinical issues and advances pertaining to all forms of cancer. This includes information about patient experiences, psychosocial issues, new research, clinical trials, and discussions of current treatment practices as well as alternative treatments."

Cancer Hope Network
"At Cancer Hope Network, we provide free, confidential, one-on-one support to people with cancer and their families. We match patients with trained volunteers who have themselves undergone a similar experience. And we provide support and hope, to help patients and families look beyond the diagnosis, cope with treatment, and start living life to its fullest once again."

Friends' Health Connection
A "support network that connects people with similar health problems for the purpose of mutual support. Ö We provide two support networks: our Patient Network connects individuals with health problems; our Caregiver Network connects family members, friends and caregivers of people with health problems."

Med Help International Patient Support Network
A service where patients with similar conditions can exchange medical information and support via e-mail



Alternative Prostate Cancer Discussion Group
This is a discussion group for prostate cancer patients and their loved ones to assist them in looking at alternative and complementary medicine.

M. D. Anderson Cancer Center

The Cancer Control Society
"Its mission: to prevent and control cancer and other diseases through Nutrition and Non-Toxic Therapies."

Cancerlinks
An absolutely great web site, with information and extensive links.

Cancer Treatment Centers of America
"Cancer Treatment Centers of America offers the most sophisticated forms of surgery, radiation, and chemotherapy in combination with complementary therapies that include; nutrition, spiritual support, mind-body medicine, and naturopathic medicine."

Center for Advancement in Cancer Education
"A not-for-profit cancer education, counseling and referral agency providing nutritional, immunological and psychological resources for cancer prevention, prevention of recurrence, and support during and after treatment."

Center for Holistic Urology at Columbia-Presbyterian Medical Center
"This Center is dedicated to the complementary treatment of men and women with disorders of the urinary tract, including cancers of the prostate, bladder, and kidney, chronic urinary tract infections, benign prostatic enlargement, prostatitis, incontinence, interstitial cystitis, and kidney stones."

Clinical Cancer Research
"Publishes original articles describing clinical research on the cellular and molecular characterization, prevention, diagnosis, and therapy of human cancer.  Its focus is on innovative clinical research and translational research which bridges the laboratory and the clinic.  Clinical Cancer Research is especially interested in clinical trials evaluating new treatments for cancer; research on molecular abnormalities that predict incidence, response to therapy, and outcome, and laboratory studies of new drugs and biological agents that will lead to clinical trials in patients."

Clinical Trials
Clinical Trials information from Prostate Cancer Foundation

Commonweal
Commonweal is a health and environmental research institute specializing in (1) people with cancer and health professionals who work with people with life-threatening illnesses; (2) children and young adults with learning and social difficulties, and the childcare professionals who work with them; and (3) the global search for a healthy and sustainable future.

Dana-Farber Cancer Institute

Education Center for Prostate Cancer Patients
Educates members and provides the support resources they and their families need. Seeks out the latest medical research and data on diagnostic techniques and treatment protocols, both conventional and complementary.

Foundation for Advancement in Cancer Therapy (FACT)
Free resource for cancer patients at (212) 741-2790
"A true alternative to conventional cancer therapy focuses first and foremost on the whole body in order to repair the biological breakdown responsible for producing abnormal cells.  A sound repair system takes all body functions into consideration including: nutrition plus the organs of metabolism, lymphatic drainage, glandular function, waste elimination, circulation, stress management, structural balance, etc."

Life Extension Foundation
The Life Extension Foundation is the largest organization in the world dedicated to the advancement of breakthrough therapies not being effectively treated by conventional medicine. They are located in Hollywood, Florida and can be reached at 800 841-5433.

Memorial Sloan-Kettering Cancer Center

Patient Advocates for Advanced Cancer Treatments
Dedicated to informing Prostate Cancer patients about all the available treatment options.

The Prostate Cancer Charity - United Kingdom
Research, education and advocacy group

Prostate Cancer Foundation
Research, education and advocacy group

Prostate Headlines from Johns Hopkins

Prostate Health Directory.com
"The ProstateHealthDirectory.com is a human-edited directory founded to provide quality and timely information to men suffering from prostate disease and their caregivers. We are committed to gathering, organizing, and disseminating the latest news and information about prostate health from reputable sources from around the world. We at ProstateHealthDirectory.com firmly believe that patients who take a positive, proactive role in learning about their health condition are much more likely to make better decisions about the treatments or therapy they will undergo."

Prostate Health Resources
A "comprehensive resource for avoiding and curing prostate cancer and other prostate problems with proven non-invasive means." From Larry Clapp, author of Prostate Health in 90 Days Without Drugs or Surgery.

Prostate Web Site by Gary Huckabay

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

US TOO International, Inc.
"US TOO is an independent network of support group chapters for men with prostate cancer and their families. US TOO groups offer fellowship, peer counseling, education about treatment options, and discussion of medical alternatives without bias."

Articles from The New England Journal of Medicine

Podcasts

Dr. Hoffman and Dr. Alshuler on Cancer September 20, 2007

Dr. Hoffman and Dr. Aaron Katz on Prostate Health 8-1-07

Dr. Hoffman and Dr. Aaron Katz on Prostate Health 1-2-07

RECOMMENDED BOOKS

Please click on the picture of the book or the title to order.

 

Larry Clapp, Prostate Health in 90 Days: Cure Your Prostate Now Without Drugs or Surgery

Michael A. Dorso, M.D., Seeds of Hope: A Physician's Personal Triumph over Prostate Cancer 
Michael Korda, Man to Man: Surviving Prostate Cancer James Lewis, Jr., Ph.D. and E. Roy Berger, M.D., New Guidelines for Surviving Prostate Cancer
Richard A. Evans, M.D., Making The Right Choice: Treatment Options In Cancer Surgery. Mitchell Gaynor, M.D. and Jerry Hickey, R.Ph., Dr. Gaynor's Cancer Prevention Program.
Patrick C. Walsh, M.D. and Janet Worthington, The Prostate: A Guide for Men and the Women Who Love Them

Life Extension Foundation, Disease Prevention and Treatment, 4th Edition.

Several chapters on Cancer, including mitigating the toxicity of Chemotherapy and Radiation.

Stephen B. Strum, M.D. and Donna Pogliano, A Primer on Prostate Cancer: The Empowered Patient's Guide Aaron E. Katz, M.D., Dr. Katz's Guide to Prostate Health: From Conventional to Holistic Therapies

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