Can Cancer Patients Eat Soy Products? Dietary Choices - Oncology

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Breast Cancer Diet


Can cancer patients consume soy products?

Zhen, 40~49 year old female. Ask Date: 2017/02/03

Dr. Chen Sirong reply Oncology


1.
Breast cancer patients may be stimulated by female hormones, so they should avoid consuming extracted and refined soy isoflavones.

2.
Other cancers that are not influenced by female hormones will not be affected.

3.
Many foods contain phytoestrogens, and there is no need to avoid them; a normal, balanced diet that includes foods with phytoestrogens is acceptable.

4.
It is advisable to consult a nutritionist for guidance.

Reply Date: 2017/02/03

More Info


When it comes to dietary choices for cancer patients, the question of whether they can consume soy products is a nuanced one. Soy products, which include tofu, soy milk, edamame, and tempeh, are rich in protein and contain isoflavones, particularly genistein and daidzein. These compounds are phytoestrogens, which means they can mimic estrogen in the body. This characteristic raises concerns, especially for patients with hormone-sensitive cancers, such as breast and ovarian cancer.

Research on the effects of soy consumption in cancer patients has produced mixed results. Some studies suggest that moderate soy intake may be beneficial and could even have a protective effect against certain cancers. For instance, a meta-analysis indicated that soy consumption is associated with a reduced risk of breast cancer recurrence in survivors. However, other studies have raised concerns about the potential estrogen-like effects of isoflavones, particularly in patients with hormone-sensitive tumors.

For patients with ovarian cancer, like your mother, the consensus among healthcare professionals is generally cautious. Since ovarian cancer can be influenced by hormonal factors, many oncologists recommend limiting the intake of soy products. The rationale is that the phytoestrogens in soy could potentially stimulate cancer cell growth in hormone-sensitive cancers. Therefore, it is often advised to avoid high amounts of soy products, especially if the patient has a history of hormone-sensitive cancers.

In your mother’s case, since she has undergone surgery and chemotherapy for ovarian cancer, it is essential to focus on a balanced diet that supports her overall health and recovery. This includes a variety of fruits, vegetables, whole grains, and lean proteins while avoiding excessive amounts of saturated fats and processed foods. It is also crucial to consider her current medications and any potential interactions with dietary choices.

Given that your mother is experiencing menopausal symptoms due to the removal of her ovaries, it is understandable that you are looking for alternatives to manage these symptoms. While soy is often suggested for menopausal relief due to its isoflavones, it may not be the best choice for someone with a history of ovarian cancer. Instead, consider other dietary options that can help alleviate menopausal symptoms without the risks associated with soy. Foods rich in omega-3 fatty acids, such as fatty fish (like salmon and mackerel), flaxseeds, and walnuts, can help with mood stabilization and may reduce hot flashes. Additionally, incorporating foods high in calcium and vitamin D, such as leafy greens, fortified plant-based milks, and dairy products, can support bone health, which is particularly important after ovarian removal.

It is also advisable to consult with a registered dietitian or a nutritionist who specializes in oncology. They can provide personalized dietary recommendations that take into account your mother’s specific health needs, treatment history, and preferences. They can also help create a meal plan that ensures she receives adequate nutrition while minimizing any potential risks associated with certain foods.

In summary, while soy products can be part of a healthy diet for some individuals, caution is warranted for cancer patients, particularly those with hormone-sensitive cancers. It is essential to prioritize a balanced diet and consult healthcare professionals for tailored advice.

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