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Current Urology Reports

, 17:35 | Cite as

Prostate Cancer Prevention: Concepts and Clinical Trials

  • Zachary Hamilton
  • J. Kellogg ParsonsEmail author
Prostate Cancer (A Kibel, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Prostate Cancer

Abstract

Prevention is an important treatment strategy for diminishing prostate cancer morbidity and mortality and is applicable to both early- and late-stage disease. There are three basic classifications of cancer prevention: primary (prevention of incident disease), secondary (identification and treatment of preclinical disease), and tertiary (prevention of progression or recurrence). Based on level I evidence, 5-alpha reductase inhibitors (5-ARIs) should be considered in selected men to prevent incident prostate cancer. Level I evidence also supports the consideration of dutasteride, a 5-ARI, for tertiary prevention in active surveillance and biochemical recurrence patients. Vitamins and supplements, including selenium or vitamin E, have not been proven in clinical trials to prevent prostate cancer and in the case of Vitamin E has been found to increase the risk of incident prostate cancer. Ongoing and future trials may further elucidate the role of diet and immunotherapy for prevention of prostate cancer.

Keywords

Prostate cancer 5-Alpha reductase inhibitors Immunotherapy 

Notes

Compliance with Ethical Standards

Conflict of Interest

Zachary Hamilton and J. Kellogg Parsons each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of UrologyMoores Comprehensive Cancer Center, UC San Diego Health SystemLa JollaUSA

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