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Whole blood selenium levels (WBSL) in patients with prostate cancer (PC), benign prostatic hyperplasia (BPH) and healthy male inhabitants (HMI) and prostatic tissue selenium levels (PTSL) in patients with PC and BPH 

Authors: Ralph Muecke ab;  Theodor Klotz c;  Josef Giedl d;  Jens Buentzel be;  Guenther Kundt f;  Klaus Kisters bg;  Franz-Josef Prott a; Oliver Micke bh
Affiliations:   a Department of Radiotherapy, St. Josefs-Hospital, Wiesbaden, Germany
b German Working Group Trace Elements and Electrolytes in Oncology,
c Department of Urology, Municipal Hospital, Weiden, Germany
d Institute of Pathology, Municipal Hospital, Weiden, Germany
e Department of Otolaryngology, Municipal Hospital, Nordhausen, Germany
f Institute of Medical Informatics and Biometry, University of Rostock, Germany
g Department of Internal Medicine I, St. Anna Hospital, Herne, Germany
h Department of Radiotherapy, Franziskus Hospital, Bielefeld, Germany
DOI: 10.1080/02841860802403721
Publication Frequency: 8 issues per year
Published in: journal Acta Oncologica, Volume 48, Issue 3 April 2009 , pages 452 - 456
First Published: April 2009
Subject: Oncology;
Formats available: HTML (English) : PDF (English)
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Abstract

Background. The aim of this exploratory study was to evaluate whether significant differences exist between whole blood selenium levels (WBSL) in patients with prostate cancer (PC), benign prostatic hyperplasia (BPH), healthy male inhabitants (HMI) in northern Bavaria and the normal value. Furthermore, we investigated whether differences exist between prostatic tissue selenium levels (PTSL) in patients with PC, BPH and the benign tissue surrounding the PC. Material and methods. We prospectively evaluated WBSL in 24 patients with PC, 21 patients with BPH, and 21 HMI. Measurements of PTSL were performed in 17 patients with PC and 22 patients with BPH. In 9 cases with PC, measurements were also done in the benign tissue surrounding the carcinoma. Measurements were performed using automated graphite furnace atomic absorption spectrophotometry. Results. In patients with PC, there is a significantly lower WBSL in comparison to HMI (p=0.04). There is no significant difference in WBSL between BPH-patients and HMI (p=0.13) and between PC- and BPH-patients (p=0.67). In all patients and the HMI, there is a significantly lower WBSL in comparison to the recommended normal value of 85 - 162 µg/l (p<0.01). There is no significant difference in PTSL between PC and BPH (p=0.49), and between PC and the tissue compartment surrounding the PC (p=0.56). PTSL seemed to be reduced in the compartment surrounding the PC in comparison to BPH (p=0.03). In PC-patients, there is no significant correlation between WBSL and prostate specific antigen (PSA) (?=-0.20; p=0.36), Gleason score (?=0.32, p=0.13), and T-stage (?=0.22; p=0.23). Conclusion. Since the WBSL measured in all men with PC and BPH, and in HMI participating in our study were significantly lower than the recommended normal range, our findings may support the recommendation of selenium supplementation.
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