Klein Eric A
Section of Urologic Oncology, Glickman Urological Institute and Cleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Annu Rev Med. 2006;57:49-63. doi: 10.1146/annurev.med.57.121304.131435.
Prostate cancer is an attractive target for chemoprevention because of its ubiquity, treatment-related morbidity, long latency between premalignant lesions and clinically evident cancer, and defined molecular pathogenesis. The Prostate Cancer Prevention Trial has provided the first firm evidence that this cancer can be prevented by a relatively nontoxic oral agent. Additional agents, many of which are antioxidants with antiandrogenic effects, are being tested (or soon will be) in large clinical trials. The current body of evidence is insufficient to make a routine recommendation of any dietary or nutritional supplement for the prevention of prostate cancer.
前列腺癌是化学预防的一个有吸引力的目标,因为它普遍存在、与治疗相关的发病率、癌前病变与临床明显癌症之间的潜伏期长,以及明确的分子发病机制。前列腺癌预防试验提供了首个确凿证据,表明这种癌症可以通过一种相对无毒的口服药物来预防。许多具有抗雄激素作用的抗氧化剂等其他药物正在大型临床试验中进行测试(或即将进行测试)。目前的证据不足以对预防前列腺癌的任何饮食或营养补充剂做出常规推荐。