I have been thinking of changing around some of my recommendations I give to my patients regarding prostate cancer prevention.
There are 4 groups of patients that I am concerned with.
1. Patients with a rising PSA and negative biopsies
2. Patients treated either with a radical prostatectomy or cryotherapy and are now having an elevation of their PSA.
3. Men at an increased risk to develop prostate cancer (African Americans, family history)
4. Men with a biopsy with PIN.
Prostatic Intraepithelial Neoplasia - not prostate cancer but a higher likelihood to develop prostate cancer. 50% conversion rate to cancer in 3 years.
Here is some information regarding supplements:
Green Tea - contains antioxidant properties. Antioxidants are able to scavenge free radicals.
Lycopene - found in cooked tomatoes, watermelon, guava and pink grapefruit. It is an antioxidant. Some studies suggest that diets high in lycopenes have a lower cancer risk.
Selenium, Vitamin E - antioxidants
Pomegranates - suggested that it can reduce PSA. Does this lead to a prolonged survival? Ponegranate juice is very sweet and may cause difficulty maintaining blood sugar levels in men with diabetes.
There are no double blind studies, therefore, these substances may not work. However, they are relatively inexpensive and safe for consumption.