Diet Selenium for Prevention and Treatment of Prostate Cancer

What is selenium? Selenium is a mineral and nutrient is very important for humans, plays a lot for the body functions, including reproduction and immunity, usually found in proteins. Selenium is stored in the thyroid gland, liver, pancreas, pituitary gland, and kidney.

Selenium source foods include meat, vegetables, and legumes. The amount of selenium found in food depends on the level of selenium from the soil in which it grows.

Selenium is found in an enzyme called glutathione peroxidase that acts as an antioxidant. However, in high quantities, selenium can act as a pro-oxidant (a substance that can make oxygen byproducts that can damage cells).

Over selenium can play a role in many diseases, including cancer. Research on animals and populations has suggested that selenium diet supplementation may reduce cancer risk.

Diet Selenium for Prostate Cancer


The results of the NPC (Nutritional Prevention of Cancer) study showed that, although the selenium diet did not affect the risk of skin cancer, it decreased the risk of lung, colorectal, and prostate cancer.

However, research on how the level of selenium in the blood affects the risk of developing prostate cancer has shown mixed results.

The study cautions caution against the use of selenium supplements between men and prostate cancer, and other studies have concluded that men should avoid selenium supplementation at higher doses of recommended dietary intake.

Clinical trials of prostate cancer prevention with selenium diet


A study in rats aimed to see the effects of selenium dietary prostate cancer prevention began at different ages.

Adult rats and young rats were fed enriched selenium diet and diet without selenium for 6 months or 4 weeks and then injected with prostate cancer cells.

Adult rats with selenium in food, they developed fewer secondary tumors than adult rats with non selenium diets. However, in young mice, selenium in the diet has no effect on tumor development.

Strain mice with prostate cancer are treated like human cancers and treated with 2 forms of selenium, MSeA and methylselenocysteine ​​(msec), or water alone.

In selenium-treated mice, the growth of precancerous lesions is slowed and cancer cell death increases compared with mice treated with water alone.

Clinical trials of prostate cancer treatment


Clinical trials of selenium effects on prostate-specific antigen (PSA) levels or prostate cancer progression have shown mixed results, including the following:

In a study reported in 2013, men at high risk of prostate cancer were given a daily high dose of selenium yeast (200 mg or 400 mg) and placebo for up to 5 years.

As a result, there was no difference in prostate cancer or PSA rates in men taking selenium supplements compared with those taking only placebo.

Another study involving 4,459 people was diagnosed with prostate cancer that has not spread. The study found that taking selenium supplements (140 or more ug / day) after diagnosis could increase the risk of death from prostate cancer and recommended that men with prostate cancer use caution in taking selenium supplements.

Combination of Selenium and Vitamin E


This is a major clinical trial started by the National Institutes of Health in 2001 to study the effects of selenium and / or vitamin E on the development of prostate cancer. More than 35,000 men, aged 50 years and older, were randomly assigned to receive one of the following combinations daily for 7-12 years:

- Vitamin E (alpha-tocopherol acetate, 400 IU / day) and placebo;
- Selenium (L-selenomethionine, 200 mcg / day) and placebo;
- Vitamin E and selenium

Recent results in 2011 showed that selenium supplement diet had little effect on prostate cancer risk. However, men taking vitamin E alone had a 17 percent increased risk of prostate cancer.

Several factors may affect the results of the study, including the dose of vitamin E selected and the selenium form used.

The authors concluded that men should avoid selenium supplementation at high doses rather than the recommended dietary intake.

How many selenium doses in prostate cancer diet?


Selenium can be consumed in diet or taken in dietary supplements. For adults, the recommended daily allowance for selenium is no more than 55 mg / day. Various forms of selenium have been shown to slow the growth and spread of prostate cancer cells.

Side effects of the selenium diet


Selenium supplements have been tolerated in many clinical trials. Patients are monitored and given a certain dosage in clinical trials. In several published trials, no differences were reported regarding adverse events.

However, the use of selenium supplements (200 mg daily) was associated with a slightly increased risk of diabetes mellitus. The FDA has not yet approved the use of selenium supplements for the treatment or prevention of prostate cancer or other medical conditions.

Source : http://www.webmd.com/prostate-cancer

Sipuleucel-T Vaccine To Treat Prostate Cancer And Side Effects

Treatment of prostate cancer with Sipuleucel-T vaccine therapy includes immunotherapy designed to enhance the body's natural defenses against cancer.

Sipuleucel-T is customized for each patient. Before treatment, blood is removed from the patient in a process called leukapheresis.

Specific immune cells are separated from the blood taken by the patient, then modified in the laboratory, then put back into the patient's body. At this point, the patient's immune system will recognize and destroy prostate cancer cells.

It is difficult to know if this treatment works effectively to treat cancer because it has not been shown to shrink tumors, lower PSA levels, or control cancer from getting worse.

Sipuleucel-T Vaccine  Therapy


However, results from clinical trials have shown that prostate cancer treatment with sipuleucel-T vaccine therapy may improve survival in men with little or no metastatic prostate cancer compared with treatment without vaccine therapy.

Vaccine Therapy For Treatment of prostate cancer


Sipuleucel-T (Provenge) is a cancer vaccine. The vaccine material is made by the body itself or in the laboratory to boost the immune system, target, or restore the functioning of the immune system.

This vaccine is made specifically for each individual. To make it, the white blood cells (immune system cells) are removed from the patient's blood (leukapheresis) for several hours, using a special machine.

The cells are then sent to the laboratory and treated with a process called prostatic acid phosphatase (PAP).

The cells are then sent back to the hospital to be given back to you with an IV to the blood vessels (IV, intravenous tubes).

This process is repeated 2 times, 2 weeks apart, so you get 3 doses of cells. These cells will boost the immune system to attack prostate cancer.

Side effects of the Sipuleucel-T vaccine


Side effects of vaccines tend to be lighter than those from hormone therapy or chemotherapy. Common side effects can include fever, chills, fatigue, back and joint pain, nausea, and headaches.

This condition usually begins and during the infusion of cells lasting no more than a few days. Some people may have severe side effects, including respiratory problems and high blood pressure. However, it will improve after getting better treatment.

Radiation Therapy for Prostate Cancer And Side Effect

Radiation therapy is the use of high-energy radiation rays to damage cancer cells by a radiation physician known as radiation oncology.

The type of radiation therapy


The types of radiation therapy used for the treatment of prostate cancer include:

1. External radiation therapy.


This is the most common type of radiation treatment. Physicians use machines located outside the body to focus x-ray beams on cancer areas.

Some cancer treatment centers use conformal radiation therapy (CRT), in which the computer helps to map the location and form of cancer.

2. Intensity-Modulated Radiation Therapy (IMRT).


IMRT is a type of external radiation beam therapy that uses CT scans to form a 3-dimensional prostate image before treatment.

A computer monitor takes this information about the size, shape, and location of prostate cancer and determines how much radiation it needs to destroy it.

With IMRT, high-dose radiation can be directed to the prostate without increasing the risk of damaging nearby organs.

Radiation Therapy for Prostate Cancer


3. Proton ray therapy.


Proton therapy is a type of external radiation therapy that uses proton light to destroy cancer cells.

Current research has not shown that proton therapy provides more benefits for men with prostate cancer than traditional radiation therapy, the cost is also more expensive.

4. Internal radiation therapy


Internal radiation therapy or brachytherapy is the insertion of radioactive sources directly into the prostate.

Radioactive rays release radiation just around the area where they are inserted and can be used for hours (high dose rate) or week (low dose rate).

For a man with high-risk cancer, brachytherapy is usually combined with other treatments.

5. Radium-223.


Radium-223 dichloride (Xofigo) is a type of radioactive substance. Radium-223 provides direct radiation to tumors found in bone, limiting damage to healthy tissue.

According to clinical trial results published in 2013, radium-223 treatment reduces the risk of bone complications and improves survival.

Side effects of radiation therapy


Radiation therapy can cause such direct side effects

- Diarrhea or other problems with rectal function, such as frequent farting, bleeding, and loss of bowel control
- Increased urinary impulse
- Increase frequency; fatigue; inability; And anal discomfort, burning sensation, or pain.
- DE (Erectile Dysfunction)

Most side effects usually disappear after treatment, but side effects such as ED are usually permanent.

Many side effects of radiation therapy may not appear in the months or years after treatment.

Most people expect to experience side effects while receiving treatment. However, often side effects come and can linger beyond the treatment period. These are called long-term side effects.

In addition, other effects of late side effects can develop for months or even years afterwards. Long term side effects and final effects can include both physical and emotional changes.

Talk to your doctor about the risks of side-effects based on the stage of cancer, individual care plans, and your overall health.

If you have a treatment known to cause a certain end effect, you may have a specific examination, scan, or blood test of your own physique to help find and regulate this state.


Source: http://www.cancer.net/cancer-types/prostate-cancer/treatment-options

Prostate Cancer Metastasis - Treatment And Side Effects

Many men experience bone problems related to prostate cancer or the side effects of treatment. Prostate cancer spreads to the bone (bone metastases) can cause severe pain and fractures. In addition, the effects of hormonal therapy for prostate cancer can lead to bone loss, fracture, and joint pain.

Bone metastasis


When prostate cancer spreads to bones and other organs, doctors look under a microscope. It is still treated with therapy for prostate cancer. A man whose prostate cancer spreads to the bone, this does not mean he has bone cancer.

However, he has prostate cancer spread to the organs of the bone by traveling through the blood, bones, and grows. The most commonly affected bones are the spine, hips, and ribs. Once prostate cancer spreads to the bone, this can be a painful process.

It is important that you make a treatment plan, take a strategy to maintain good bone health. There are several treatments available to strengthen bones, prevent metastasis, and manage to prevent pain.

Treatment of Prostate Cancer Spread To Bone And side Effects


Some people diagnosed with prostate cancer will have the spread of their cancer (metastasis) to other parts of the body. Bone is where the spread of cancer cells.

Two classes of drugs used to treat prostate cancer that has spread to the bones are: Bisphosphonates and Denosumab

Prostate Cancer Metastasis


Everyone is different in responding to bone metastasis treatment. Talk to your doctor or pharmacist about what to expect, including side effects.

Here is a common drug used to treat bone metastases from prostate cancer

1. Alendronate


What is Alendronate? This type of drug is the same as bisphosphonate used to treat osteoporosis (bone loss). It works by increasing bone density to reduce damage.

How is this drug given? Alendronate is given orally as a tablet.

Aledronate side effects


Everyone responds differently to treatment for bone metastases - some experience many side effects, while others experience less.

Here are some of the side effects experienced by people receiving treatment.

- Stomach ache
- bloated
- Constipation
- Diarrhea
- Headache
- Nausea
- Pain in the bones / joints

2. Denosumab


Denosumab is a monoclonal antibody used to treat osteoporosis in men diagnosed with prostate cancer.

This drug works by stopping bone cells (osteoclasts) from damage to bone structure. Denosumab is given by subcutaneous injection (under the skin).

Denosumab Side effects


Here are some of the side effects experienced by people who receive denosumab.

- Diarrhea
- Fatigue
- Nausea
- Rash
- Skin changes
- Weakness

3. Pamidronate Dinatrium


Pamidronate Disodium class with bisphosphonates used to treat osteoporosis (bone loss).

It works by reducing bone damage. Disodium Pamidronate is given intravenously (IV).

Pamidronate Dinatrium Side effects


Here are some of the side effects experienced by people who receive disodium pamidronate.

- Stomach ache
- bone pain
- trouble sleeping
- Headache
- Losing appetite
- Nauseous vomit
- Weakness

4. Zoledronic acid


Zoledronic acid is a class of drugs known as bisphosphonates used to treat bone metastases resulting from prostate cancer.

Zoledronic Acid prevents or slows the rate of bone changes (including splitting) provided by intravenous injection.

Zoledronic acid Side effects


Here are some of the side effects experienced by people who received zoledronic acid.

- Bone / joint pain
- Diarrhea
- Fatigue
- Fever
- Headache
- Losing appetite
- Nauseous vomit
- Weight loss

Everyone responds differently to treatment for bone metastases - some experience many side effects while others experience less.

Tell your health care team about the side effects if you experience so they know how best to help you manage the unpleasant effects.

Reference : http://www.prostatecancer.ca/Prostate-Cancer/Treatment/ Drugs-to-Treat-Prostate-Cancer/Drugs-to-Treat-Bone-Metastases/ Denosumab

Androgen Deprivation Therapy for Prostate Cancer

The treatment of prostate cancer with androgen deprivation therapy (ADT) therapy is performed because the growth of cancer cells is driven by androgen hormones, androgen-suppressed hormone therapy is thought to help slow cancer growth.

The most common type of Androgen hormone is testosterone. Testosterone levels in the body can be lowered by removal of the testes, or using certain drugs to kill testicular function.

ADT is used to treat prostate cancer, including recurrent prostate cancer and metastatic prostate cancer. Metastatic prostate cancer is cancer cells that have spread throughout the body.

Androgen Deprivation Therapy


ADT also includes adjuvant therapy (advanced therapy) because it is administered after surgery for men who have cancer in the lymph nodes to remove remaining cancer cells and prevent coming back.

ADT is considered as adjuvant therapy if prostate cancer has been found in lymph nodes after radical prostatectomy given up to 3 years for high-risk and 6-month cancers for men with medium-risk cancers.

Androgen Therapy


Types of androgen therapy

1. Bilateral Orchiectomy.


Bilateral orchiectomy is the surgical removal of both testes and first used for the treatment of metastatic prostate.

ADT is considered an operation because it eliminates the main source of testosterone production, the testes. The effect of this operation is permanent and non-refundable.

2. LHRH Agonists.


LHRH (Luteinizing hormone-releasing hormone) is a testicular prevention drug receiving messages sent by the body to make testosterone.

By blocking these signals, LHRH agonists reduce a man's testosterone level and remove the functioning of the testicles.

However, unlike surgeon surgery, the LHRH agonist effect is reversible, so testosterone production usually begins again after the patient stops treatment.

3. LHRH antagonist


The drug is also called gonadotropin-releasing hormone (GnRH) antagonist, to stop the testes from producing testosterone like LHRH agonists, but they reduce testosterone levels faster and do not cause flares.

Flare is a condition where high testosterone levels turn into a very low drop suddenly.

One of the side effects of this drug is that it can cause severe allergic reactions.

4. Anti-androgen


Anti-androgens block testosterone utilizing the "androgen receptor," which is a chemical structure in cancer cells that allows testosterone and other male hormones to enter the cells.

This drug is used in men who have "hormone sensitive" prostate cancer, which means that prostate cancer still responds to ADT. Anti-androgens are usually not used alone in the treatment of prostate cancer.

5. Enzalutamide (Xtandi)


This drug is a new type of anti-androgen blocking signals from androgen receptors.

Enzalutamide is approved by the FDA for men who have developed progressive prostate metastatic cancer.

Treatment with enzalutamide has led to overall improved survival.

6. CYP17 Inhibitor.


Although testes are a major producer of testosterone, other cells in the body can still make small amounts of testosterone that can promote cancer growth. These include the adrenal glands and some of the prostate cancer cells themselves, the CYP17 inhibitor plays a role in preventing it.

Abiraterone acetate (Zytiga) is a drug that blocks enzymes called CYP17 Inhibitors and prevents these cells from making certain hormones, including adrenal androgens.

Abiraterone acetate can cause serious side effects such as high blood pressure, low blood potassium levels, and fluid retention. Other common side effects include weakness, joint swelling or pain, swelling in the legs or feet, reddening, diarrhea, vomiting, shortness of breath, and anemia.

Side effects of androgen therapy for prostate treatment


Androgen therapy causes side effects that generally disappear after treatment is completed, except in men who already have orchiectomy.

These side effects include:

- DE (erectile dysfunction)
- jaded, weak and lethargic
- Weight loss
- Loss of muscle mass
- Osteopenia or osteoporosis, or bone thinning

Another important side effect of androgen therapy is the risk of developing metabolic syndrome disease such as obesity, blood cholesterol levels and high blood pressure that increases a person's risk of heart disease, stroke, and diabetes.

The risks and benefits of androgen therapy should be discussed with your doctor. For men with metastatic prostate cancer. Side effects control management is very important for prostate cancer patients who receive androgen therapy treatment including regular exercise, do not smoke, healthy diet, take vitamin D or calcium supplements, and treatment as preventive cardiovascular follow-up.

Chemotherapy For Prostate Cancer And Side Effects

Treatment of prostate cancer with chemotherapy is the use of specific drugs to destroy cancer cells by stopping their ability to grow and divide.

Chemotherapy is usually given by a medical oncologist, a doctor who specializes in treating cancers with drugs.

Chemotherapy For Prostate Cancer

Chemotherapy


Chemotherapy is systemically inserted into the bloodstream to reach cancer cells throughout the body. Chemotherapy is administered through an intravena tube (IV) placed into a vein using a needle.

This may help patients with resistant, advanced stage prostate cancer. A chemotherapy regimen usually consists of a certain number of cycles administered over a given period of time.

There are some standard drugs used for prostate cancer. In general, standard chemotherapy begins with docetaxel combined with a steroid known as prednisone.

Prostate cancer treatment with prednisone chemotherapy procedures has been shown to help patients with advanced prostate cancer live longer than other chemotherapy drugs such as mitoxantrone (Novantrone).

Mitoxantrone is one of the first chemotherapy approved for metastatic or resistant prostate cancer although it is not generally used. Mitoxantrone is useful for controlling the pain of cancer that sometimes appears in certain situations.

The FDA has also approved other drugs, such as cabazitaxel (Jevtana), based on studies that show increased survival when compared with mitoxantrone for patients with developing disease after docetaxel. Cabazitaxel is currently compared with docetaxel in clinical trials, but the results are still delayed.

Side effects of chemotherapy


In general, the side effects of chemotherapy depend on the individual, the type of chemotherapy received, the dose used, and the duration of treatment.

Side effects of chemotherapy in the treatment of prostate cancer such as fatigue, mouth and throat wounds, diarrhea, nausea and vomiting, constipation, blood disorders, nervous system effects, changes in thinking and memory, sexual and reproductive problems, loss of appetite, And hair loss.

Side effects of chemotherapy usually disappear after treatment is complete. However, some side effects may continue, return, or develop later.

Ask your doctor about any side effects you may experience, based on your treatment plan. Your health care team will work with you to manage or prevent many of these side effects.

Reference : http://www.cancer.net/cancer-types/prostate-cancer/treatment-options

Radical Prostatectomy Surgery To Treat Prostate Cancer

One surgical procedure for treating prostate cancer is a radical prostatectomy that removes the entire prostate.

Usually, men with early-stage disease or cancer are confined to the prostate will undergo surgical removal of the entire prostate gland, plus some surrounding tissue, and then the doctor will reconnect the bladder channel to the urethra.

Advanced surgical procedures may be performed in men with recurrent prostate cancer, such as lymph node removal, which is where the initial landing of prostate cancer metastasis.

Radical Prostatectomy Surgery


Why should the entire prostate be removed?


Because cancer has invaded the seminal vesicles, the nearest part of the vas deferens, along with nearby tissues, and some nearest pelvic lymph nodes.

In addition, the cancer has spread throughout the prostate gland, the prostate should be removed. This is done to ensure that cancer cells do not lag and grow.

Lymph nodes in the pelvis are round or oval round small round the blood vessels. They filter the fluid from the lymph nodes.

Prostate cancer usually spreads first into the soft tissues around the prostate. Then, spread to the seminal vesicles, lymph nodes, bones and other organs. There are many other lymph nodes. So that the body will not be harmed by removing some lymph nodes.

During the procedure of prostatectomy surgery, did not escape the surgery of nerve-sparing prostatectomy. What is a nerve-sparing prostatectomy? In a nerve-sparing prostatectomy, the surgeon cuts to the very edge of the prostate, a functional nerve that runs alongside the prostate.

A neurosurgical-sparing procedure may be performed; It depends on whether the cancer attacks the nerve or not. However, neurosurgical-sparing procedures offer the best opportunity to preserve long-term ssual function.

Treatment of prostate cancer by radical prostatectomy surgery


There are four types of radical prostatectomy surgery, namely:

1. Retropubic radical prostatectomy


This is the most common type of prostate surgery. Your surgeon will make a cut (slice) in the lower abdomen and remove the prostate through this slice.

2. Perineum radical prostatectomy


The removal of the prostate by cutting between the anus and the scrotum.

3. Laparoscopic Radical Prostatectomy


The surgeon will make six incisions about 1 inch in your stomach to remove the prostate gland. This operation has been replaced by the interface of a laparoscopic surgical robot as a tool.

4. Robotic Assisted Laparoscopic Radical Prostatectomy (RALP)


The entire prostate is removed using the help of the robot system. RALP surgery is one of the most common types of prostate surgery today.

However, the success of this operation depends on how experienced your surgeon is. In the hands of experienced clinicians, there is no major difference in outcomes between RALP and retropubic prostatectomy.

Post Surgical Treatment 


After the prostate is removed, the urinary tract and bladder are reconstructed again. Then the catheter is inserted through the urethra into the bladder. A new channel between the bladder and the urethra to drain urine (anastomosis).

Most people do not fart for one to two days, and they do not defecate until the third day after surgery. This depends on the amount of anti-pain medication given.

After the surgeon has the latest pathology report, he will make a plan, including regular doctor visit plan and PSA test every 6-12 months. The postoperative PSA level should be undetectable (less than 0.1 ng / mL).

If a pathology report shows cancer in surgical margins or cancer spread to adjacent tissues, seminal vesicles, or lymph nodes, further treatment may be necessary. Therapy can be done with radiation therapy or hormone therapy, or both. It will start 2 to 4 months after surgery.

Reference : http://www.cancer.net/cancer-types/prostate-cancer/treatment-options

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