Showing posts with label gleason score. Show all posts
Showing posts with label gleason score. Show all posts

Saturday, March 24, 2007

Informative URL's About Prostate Cancer

Hi Guys,

Here's a few useful links concerning prostate cancer. These I have collected over the past 12 months or so but note I have not checked them today, before posting. However, I would imagine that they are still current. I certainly found them worth exploring in the past and will revisit them over coming days as I'm sure they will have been updated.

Prostate Cancer links on the net.

As you will see, most URL's given below are of Australian web sites, simply because that's how they are on my listing. I have more URL's to follow in a few days...

The following seven URL’s are taken from: www.prostatehealth.org.au/links

The Lions Club of Australia:

www.prostatehealth.org.au

www.prostatehealth.org.au/links.html

The Prostate Cancer Research Institute of the US

www.prostate-cancer.org/tools/tools.html

(Yes, that repetition of 'tools' is correct.)

Prostate Cancer Foundation of Australia

www.prostate.org.au

Cancer Voices NSW :

www.cancervoices.org.au

Andrology Australia:

www.andrologyaustralia.org

The Australian Centre for Sexual Health:

www.impotenceaustralia.com.au


Tuesday, March 13, 2007

Metastases to the Bone

Hi Guys,

I thought you’d be interested in this article because, as you probably know, when prostate cancer spreads its invariably goes to the bones. When my aggressive prostate cancer was diagnosed last May I was told markers indicated a high probability of the cancer having started on its journey to my bones, although follow up tests at the time were inconclusive. Ten months later I have not considered further tests because knowing would not achieve anything at this juncture. I’m hell bent on maintaining my alternative medicine regimen and all the signs to date are very positive health wise and as for my quality of life, it is truly great.

I hope that you find this item informative…

Metastases to the Bone
Disease Site of Metastases to the Bone:

Metastases is the term used to describe the spread of cancer from its site of origin to another location in the body. Bone is one of the most common locations in the body to which cancer metastasises. Any type of cancer can spread to the bone.The most common metastasising cancers are those of the breast, lung, kidney, thyroid and prostate.

Incidence of Metastases to the Bone:

Bone metastases are common, however, its true incidence is unknown, as it is dependent on the prevalence of certain types of cancers in the community which predispose to bone metastases.

Predisposing Factors of Metastases to the Bone:

Bone metastases are found more commonly in middle-aged to elderly people; they are uncommon in children. The major cancer types which tend to metastasize to bone include multiple myeloma, breast, prostate, lung, kidney, and thyroid cancers. However, a number of factors are involved - the probability of bone metastasis can be assessed only by knowing the prevalence of the cancer and its preference for bone in a particular ethnic group.

Natural History of Metastases to the Bone:

Bone metastases results in injury to bone tissue. There are two types of bone lesions: lytic lesions, which destroy bone material, and blastic lesions, which fill up bone with extra cells. Normal bone is in a constant state of remodelling - being broken down and rebuilt. Cancer cells that have spread to the bone disrupt this balance between the activity of cells that break down bone (osteoclasts) and cells that make bone (osteoblasts).

Bone metastases may be found anywhere in the skeleton, but generally occur in the central parts. More than 90% of all metastases are found in the back, pelvis, upper leg, ribs, upper arm, and skull. Complications of bone metastases include pain, increased risk of fracture, raised calcium levels in the blood, and a decreased blood cell count.

Prognosis of Metastases to the Bone:

Once cancer has spread to the bone, prognosis tends to be poor and treatment is generally aimed at minimising symptoms and improving quality of life. Bone metastases often have a significant impact on a patient’s quality of life by causing reduced mobility and pain, and complications such as high calcium levels, bone marrow suppression and fractures.

Investigation of Metastases to the Bone:

Tests which may be done if bone metastases are suspected include:
# Blood tests.
# ECG (if the patient has an irregular heartbeat).
# X-rays.
# Whole body bone scan looking for metastases.
# CT scan / MRI scan to assess local disease.

Treatment Overview of Metastases to the Bone:

The goal of treatment for bone metastases is to relieve pain and reduce the risk of fracture. Treatment may consist of surgery, radiation therapy, pain medications, and/or bisphosphonate drugs.
# Surgery may be required if there is immediate risk of fracture. Metal rods, plates, screws, wires, nails, or pins can be inserted to stabilise the bone at risk.
# Radiation Therapy: For metastatic lesions without immediate risk of fracture, radiation is effective for reducing localised bone pain and progression of the cancer.
# Medications: A groups of drugs called ‘bisphosphonates’ have been shown to reduce the risk of fractures caused by metastatic bone lesions, as well as treating bone pain and controlling raised calcium levels. Painkillers may be required if bone pain is interfering with the patient’s quality of life.

Drugs used in the treatment of this disease:

Supportive care drugs

* Zoledronic acid
(Zometa)

Other

* Sodium clodronate
(Bonefos)

For further information, please go to the VirtualCancerCentre.com site from whence this came:
http://www.virtualcancercentre.com/diseases.asp?did=708

Monday, March 12, 2007

Sugar Feeds Cancer!

Hi guys,

This is a very important article emphasizing yet again the need to control ones sugar intake. If you are not checking your sugar intake from just about every food item on your supermarket shelves then you are placing yourself at risk. You will even find excess sugar in products sold in so-called, health food shops. I rigorously check all my food items for it sugar content (and for sodium) and avoid adding additional sugar to my beverages, etc.

http://www.alternativehealth.com.au/Articles/sugar_&_cancer.htm

This article is used with permission from:

Dr. Jon J. Brooks, M.D. - Trustee

The Alternative Medicine Research Foundation USA

It puzzles me why the simple concept “sugar feeds cancer” can be so dramatically overlooked as part of a comprehensive cancer treatment plan. Of the 4 million cancer patients being treated in America today, hardly any are offered any scientifically guided nutrition therapy beyond being told to “just eat good foods.” Most patients I work with arrive with a complete lack of nutritional advice. I believe many cancer patients would have a major improvement in their outcome if they controlled the supply of cancer’s preferred fuel, glucose. By slowing the cancer’s growth, patients allow their immune systems and medical debulking therapies–chemotherapy, radiation and surgery to reduce the bulk of the tumour mass–to catch up to the disease. Controlling one’s blood-glucose levels through diet, supplements, exercise, meditation and prescription drugs when necessary can be one of the most crucial components to a cancer recovery program. The sound bite–sugar feeds cancer–is simple. The explanation is a little more complex.

The 1931 Nobel laureate in medicine, German Otto Warburg, Ph.D., first discovered that cancer cells have a fundamentally different energy metabolism compared to healthy cells. The crux of his Nobel thesis was that malignant tumours frequently exhibit an increase in anaerobic glycolysis - - a process whereby glucose is used as a fuel by cancer cells with lactic acid as an anaerobic by-product - - compared to normal tissues. The large amount of lactic acid produced by this fermentation of glucose from cancer cells is then transported to the liver. This conversion of glucose to lactate generates a lower, more acidic pH in cancerous tissues as well as overall physical fatigue from lactic acid build-up. Thus, larger tumours tend to exhibit a more acidic pH.4

This inefficient pathway for energy metabolism yields only 2 moles of adenosine triphosphate (ATP) energy per mole of glucose, compared to 38 moles of ATP in the complete aerobic oxidation of glucose. By extracting only about 5 percent (2 vs. 38 moles of ATP) of the available energy in the food supply and the body’s calorie stores, the cancer is “wasting” energy, and the patient becomes tired and undernourished. This vicious cycle increases body wasting. It is one reason why 40 percent of cancer patients die from malnutrition, or cachexia. Hence, cancer therapies should encompass regulating blood-glucose levels via diet, supplements, non-oral solutions for cachectic patients who lose their appetite, medication, exercise, gradual weight loss and stress reduction.

Professional guidance and patient self-discipline are crucial at this point in the cancer process. The quest is not to eliminate sugars or carbohydrates from the diet but rather to control blood glucose within a narrow range to help starve the cancer and bolster immune function. The glycemic index is a measure of how a given food affects blood-glucose levels, with each food assigned a numbered rating. The lower the rating, the slower the digestion and absorption process, which provides a healthier, more gradual infusion of sugars into the bloodstream. Conversely, a high rating means blood-glucose levels are increased quickly, which stimulates the pancreas to secrete insulin to drop blood-sugar levels. This rapid fluctuation of blood-sugar levels is unhealthy because of the stress it places on the body.

Sugar in the Body and Diet

Sugar is a generic term used to identify simple carbohydrates, which includes monosaccharides such as fructose, glucose and galactose; and disaccharides such as maltose and sucrose (white table sugar). Think of these sugars as different-shaped bricks in a wall. When fructose is the primary monosaccharide brick in the wall, the glycemic index registers as healthier, since this simple sugar is slowly absorbed in the gut, then converted to glucose in the liver. This makes for “time-release foods,” which offer a more gradual rise and fall in blood-glucose levels. If glucose is the primary monosaccharide brick in the wall, the glycemic index will be higher and less healthy for the individual. As the brick wall is torn apart in digestion, the glucose is pumped across the intestinal wall directly into the bloodstream, rapidly raising blood-glucose levels. In other words, there is a “window of efficacy” for glucose in the blood: levels too low make one feel lethargic and can create clinical hypoglycemia; levels too high start creating the rippling effect of diabetic health problems.

The 1997 American Diabetes Association blood-glucose standards consider 126 mg glucose/dL blood or greater to be diabetic; 111125 mg/dL is impaired glucose tolerance and less than 110 mg/dL is considered normal. Meanwhile, the Paleolithic diet of our ancestors, which consisted of lean meats, vegetables and small amounts of whole grains, nuts, seeds and fruits, is estimated to have generated blood glucose levels between 60 and 90 mg/dL. Obviously, today’s high-sugar diets are having unhealthy effects as far as blood-sugar is concerned. Excess blood glucose may initiate yeast overgrowth, blood vessel deterioration, heart disease and other health conditions.

Understanding and using the glycemic index is an important aspect of diet modification for cancer patients. However, there is also evidence that sugars may feed cancer more efficiently than starches (comprised of long chains of simple sugars), making the index slightly misleading. A study of rats fed diets with equal calories from sugars and starches, for example, found the animals on the high-sugar diet developed more cases of breast cancer. The glycemic index is a useful tool in guiding the cancer patient toward a healthier diet, but it is not infallible. By using the glycemic index alone, one could be led to thinking a cup of white sugar is healthier than a baked potato. This is because the glycemic index rating of a sugary food may be lower than that of a starchy food. To be safe, I recommend less fruit, more vegetables, and little to no refined sugars in the diet of cancer patients.

What the Literature Says

A mouse model of human breast cancer demonstrated that tumors are sensitive to blood-glucose levels. Sixty-eight mice were injected with an aggressive strain of breast cancer, then fed diets to induce either high blood-sugar (hyperglycemia), normoglycemia or low blood-sugar (hypoglycemia). There was a dose-dependent response in which the lower the blood glucose, the greater the survival rate. After 70 days, 8 of 24 hyperglycemic mice survived compared to 16 of 24 normoglycemic and 19 of 20 hypoglycemic. This suggests that regulating sugar intake is key to slowing breast tumour growth. In a human study, 10 healthy people were assessed for fasting blood-glucose levels and the phagocytic index of neutrophils, which measures immune-cell ability to envelop and destroy invaders such as cancer. Eating 100 g carbohydrates from glucose, sucrose, honey and orange juice all significantly decreased the capacity of neutrophils to engulf bacteria. Starch did not have this effect.

A four-year study at the National Institute of Public Health and Environmental Protection in the Netherlands compared 111 biliary tract cancer patients with 480 controls. Cancer risk associated with the intake of sugars, independent of other energy sources, more than doubled for the cancer patients. Furthermore, an epidemiological study in 21 modern countries that keep track of morbidity and mortality (Europe, North America, Japan and others) revealed that sugar intake is a strong risk factor that contributes to higher breast cancer rates, particularly in older women.

Limiting sugar consumption may not be the only line of defence. In fact, an interesting botanical extract from the avocado plant (Persea americana) is showing promise as a new cancer adjunct. When a purified avocado extract called mannoheptulose was added to a number of tumour cell lines tested in vitro by researchers in the Department of Biochemistry at Oxford University in Britain, they found it inhibited tumour cell glucose uptake by 25 to 75 percent, and it inhibited the enzyme glucokinase responsible for glycolysis. It also inhibited the growth rate of the cultured tumour cell lines. The same researchers gave lab animals a 1.7 mg/g body weight dose of mannoheptulose for five days; it reduced tumours by 65 to 79 percent. Based on these studies, there is good reason to believe that avocado extract could help cancer patients by limiting glucose to the tumour cells.

Since cancer cells derive most of their energy from anaerobic glycolysis, Joseph Gold, M.D., director of the Syracuse (N.Y.) Cancer Research Institute and former U.S. Air Force research physician, surmised that a chemical called hydrazine sulphate, used in rocket fuel, could inhibit the excessive gluconeogenesis (making sugar from amino acids) that occurs in cachectic cancer patients. Gold’s work demonstrated hydrazine sulphate’s ability to slow and reverse cachexia in advanced cancer patients. A placebo-controlled trial followed 101 cancer patients taking either 6 mg hydrazine sulphate three times/day or placebo. After one month, 83 percent of hydrazine sulphate patients increased their weight, compared to 53 percent on placebo.15

A similar study by the same principal researchers, partly funded by the National Cancer Institute in Bethesda, Md., followed 65 patients. Those who took hydrazine sulphate and were in good physical condition before the study began lived an average of 17 weeks longer. The medical establishment may be missing the connection between sugar and its role in tumorigenesis. Consider the million-dollar positive emission tomography device, or PET scan, regarded as one of the ultimate cancer-detection tools. PET scans use radioactively labelled glucose to detect sugar-hungry tumour cells. PET scans are used to plot the progress of cancer patients and to assess whether present protocols are effective.18 In Europe, the “sugar feeds cancer” concept is so well accepted that oncologists, or cancer doctors, use the Systemic Cancer Multistep Therapy (SCMT) protocol.

Conceived by Manfred von Ardenne in Germany in 1965, SCMT entails injecting patients with glucose to increase blood-glucose concentrations. This lowers pH values in cancer tissues via lactic acid formation. In turn, this intensifies the thermal sensitivity of the malignant tumours and also induces rapid growth of the cancer. Patients are then given whole-body hyperthermia (42 C core temperature) to further stress the cancer cells, followed by chemotherapy or radiation.19 SCMT was tested on 103 patients with metastasised cancer or recurrent primary tumours in a clinical phase-I study at the Von Ardenne Institute of Applied Medical Research in Dresden, Germany. Five-year survival rates in SCMT-treated patients increased by 25 to 50 percent, and the complete rate of tumour regression increased by 30 to 50 percent.

The protocol induces rapid growth of the cancer, then treats the tumour with toxic therapies for a dramatic improvement in outcome. The irrefutable role of glucose in the growth and metastasis of cancer cells can enhance many therapies. Some of these include diets designed with the glycemic index in mind to regulate increases in blood glucose, hence selectively starving the cancer cells; low-glucose TPN solutions; avocado extract to inhibit glucose uptake in cancer cells; hydrazine sulphate to inhibit gluconeogenesis in cancer cells; and SCMT.

A female patient in her 50s, with lung cancer, came to our clinic, having been given a death sentence by her Florida oncologist. She was cooperative and understood the connection between nutrition and cancer. She changed her diet considerably, leaving out 90 percent of the sugar she used to eat. She found that wheat bread and oat cereal now had their own wild sweetness, even without added sugar. With appropriately restrained medical therapy–including high-dose radiation targeted to tumour sites and fractionated chemotherapy, a technique that distributes the normal one large weekly chemo dose into a 60-hour infusion lasting days–a good attitude and an optimal nutrition program which included Sam’s formula nine times/day, she beat her terminal lung cancer. I saw her last month, five years later and still disease-free, probably looking better than the doctor who told her there was no hope.