title: Mass spectral analysis of PC-SPES confirms the presence of diethylstilbestrol.
abstract: OBJECTIVE
  PC-SPES is an herbal mixture available over the counter for the treatment of prostate cancer. It was re-called in January 2002 due to alleged contamination with warfarin. Other laboratories, including our own, claim that the potent synthetic estrogen, diethylstilbestrol (DES) which has been used for many years to treat hormone dependent prostate cancer, could be detected in the herbal mixture. Recent clinical studies report objective responses in men with hormone dependent and naïve prostate cancer, and also describe isolated cases of estrogenic side effects. A lack of effective conventional treatments for advanced hormone refractory prostate cancer has led to a widespread use of PC-SPES by patients across the North America continent. The presence of DES in PC-SPES might explain both clinical response and observed side effects in men taking 6-9 capsules per day.
  
  
  METHODS
  We tested five batches of commercially available PC-SPES using gas chromatography (GC) and high performance liquid chromatography (HPLC) upon methanolic extraction. Duplicate aliquots were tested for each batch and the results compared to standard curves generated using DES (99% purity).
  
  
  CONCLUSIONS
  We detected significant levels of DES in three out of five tested batches. The presence of a synthetic steroid in PC-SPES is not likely to have occurred as a result of its extraction from a herbal source. The implications of this finding highlight the necessity of regulated quality control and standardization of natural health products.
authors.affiliation: The Prostate Centre at Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
authors.forename: E S
authors.initials: ES
authors.lastname: Guns
authors.forename: S L
authors.initials: SL
authors.lastname: Goldenberg
authors.forename: P N
authors.initials: PN
authors.lastname: Brown
mesh_terms: D002849:Chromatography, Gas; D002851:Chromatography, High Pressure Liquid; D004054:Diethylstilbestrol / Q000032:analysis*; D004365:Drugs, Chinese Herbal / Q000737:chemistry* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010936:Plant Extracts / Q000737:chemistry* / Q000627:therapeutic use; D011471:Prostatic Neoplasms / Q000188:drug therapy
chemical_list: D004365:Drugs, Chinese Herbal; D010936:Plant Extracts; C114209:herbal preparation PC-SPES; D004054:Diethylstilbestrol