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Hormones and breast cancer
1University of California Irvine Cancer Center, Orange.
American Journal of Surgery
|April 1, 1989
Summary
Women with a history of breast cancer may safely resume hormone therapy. New evidence suggests estrogen exposure does not worsen existing breast cancer, challenging previous beliefs and potentially improving patient well-being.
Area of Science:
- Oncology
- Endocrinology
- Reproductive Health
Background:
- Historically, estrogen exposure was contraindicated for breast cancer survivors due to concerns of cancer exacerbation.
- Current trends in delayed childbearing and the benefits of menopausal hormone therapy necessitate re-evaluation of this stance.
- Advances in understanding estrogen receptors and cancer prognosis factors are crucial.
Purpose of the Study:
- To re-examine the contraindication of estrogen exposure in breast cancer survivors.
- To assess the safety and potential benefits of renewed hormonal exposure.
- To inform clinical practice regarding hormone therapy for breast cancer patients.
Main Methods:
- Review of recent scientific literature and epidemiological studies.
- Analysis of data on oral contraceptive use and hormone replacement therapy in women with a history of breast cancer.
- Evaluation of the impact of estrogen on established breast cancer and subsequent pregnancies.
Main Results:
- Epidemiological studies show no increased breast cancer risk with oral contraceptives or hormone replacement therapy.
- Pregnancy following successful breast cancer management has shown beneficial effects.
- Oral contraceptives did not demonstrate an adverse effect on established breast cancer.
Conclusions:
- Current evidence does not support a link between estrogen exposure and exacerbation of existing breast cancer.
- Liberalizing attitudes towards renewed hormonal exposure may benefit breast cancer survivors.
- Further research and clinical consideration are warranted for hormone therapy in this population.
Keywords:
Age FactorsBiologyBreast CancerCancerContraceptionContraceptive MethodsDemographic FactorsDiseasesEndocrine SystemEstrogensFamily PlanningFertility AgentsGynecologic SurgeryHormone ReceptorsHormonesLactationLiterature ReviewMaternal PhysiologyMembrane ProteinsMenopauseNeoplasmsOral ContraceptivesOvariectomyPhysiologyPopulationPopulation CharacteristicsPregnancyReproductionReproductive Control AgentsRisk FactorsSurgeryTamoxifenTreatmentUrogenital SurgeryYouth