RESUMO
The amount and quality of available data on secondary and tertiary prevention of urological tumors are to a large extent unsatisfactory. In the areas of nutrition and supplementary diet the consumption of tomatoes and especially tomato products could have a beneficial effect on the course of the disease for patients with prostate cancer, whereas there is evidence that the consumption of foodstuffs containing calcium (milk and milk products) and linolenic acid as well as a fat-rich diet accelerate tumor progression. Despite as yet unsatisfactory data, men with urothelial tumors or prostate cancer should abstain from smoking and undertake sports activities. For medicinal measures the administration of 5-alpha-reductase inhibitors and bone-promoting substances for patients with prostate cancer are under discussion. The effectiveness of the substances zoledronate and denosumab has been demonstrated in prospective randomized studies. The authors recommend that the scientifically neglected field of tertiary prevention of urological tumors should in future be included as a core factor of scientific investigations.
Assuntos
Recidiva Local de Neoplasia/prevenção & controle , Prevenção Secundária , Prevenção Terciária , Neoplasias Urológicas/prevenção & controle , Inibidores de 5-alfa Redutase/uso terapêutico , Antineoplásicos Hormonais/administração & dosagem , Conservadores da Densidade Óssea/uso terapêutico , Carcinoma de Células de Transição/etiologia , Carcinoma de Células de Transição/prevenção & controle , Carcinoma de Células de Transição/reabilitação , Terapia Combinada , Progressão da Doença , Comportamento Alimentar , Humanos , Solanum lycopersicum , Masculino , Recidiva Local de Neoplasia/etiologia , Recidiva Local de Neoplasia/reabilitação , Fitoterapia , Estudos Prospectivos , Neoplasias da Próstata/etiologia , Neoplasias da Próstata/prevenção & controle , Neoplasias da Próstata/reabilitação , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco , Neoplasias da Bexiga Urinária/etiologia , Neoplasias da Bexiga Urinária/prevenção & controle , Neoplasias da Bexiga Urinária/reabilitação , Neoplasias Urológicas/etiologia , Neoplasias Urológicas/reabilitaçãoRESUMO
Cancer and urinary diversion via orthotopic or cutaneous stomas in women result in significant physiological and psychosocial issues. Patient counseling, education, and follow-up care are best achieved by the intervention of a multidisciplinary health care team. Urologic and enterostomal therapy nursing support in these endeavors can contribute to facilitating a positive outcome.
