Trunet P, Marty M
Novartis Pharma SA, 2-4, rue Lionel-Terray, 92506 Rueil-Malmaison Cedex.
Bull Cancer. 1999 Oct;86(10):815-20.
Nowadays the role of the hormonotherapy in the treatment of breast cancer in postmenopausal women is well established. The benefit of tamoxifen is demonstrated in the adjuvant setting as well as in the treatment of advanced breast cancer. After tamoxifen failure the hormonosensitive patients can be offered a second and a third hormonal treatment. The developments of new hormonotherapies recently or shortly put at the disposal of oncologists, such as new antiestrogens or selective estrogen receptors modulators (SERM), new steroidal and nonsteroidal aromatase inhibitors and antiprogestins are reviewed as well as the recent data on the use of tamoxifen in the primary prevention of breast cancer. The principal characteristics and the potential therapeutic uses of these agents are reviewed in the treatment and prevention of breast cancer in postmenopausal patients.
如今,激素疗法在绝经后女性乳腺癌治疗中的作用已得到充分确立。他莫昔芬在辅助治疗以及晚期乳腺癌治疗中的益处已得到证实。在他莫昔芬治疗失败后,激素敏感型患者可接受二线和三线激素治疗。本文综述了近期或即将可供肿瘤学家使用的新型激素疗法的进展,如新型抗雌激素或选择性雌激素受体调节剂(SERM)、新型甾体和非甾体芳香化酶抑制剂以及抗孕激素,以及他莫昔芬在乳腺癌一级预防中的最新应用数据。本文还综述了这些药物在绝经后患者乳腺癌治疗和预防中的主要特点及潜在治疗用途。