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使用选择性雌激素受体调节剂(SERM)预防乳腺癌。

Prevention of breast cancer using selective oestrogen receptor modulators (SERMs).

作者信息

Powles Trevor J

机构信息

Parkside Oncology Centre, Parkside, Wimbledon, London SW19 5NB, UK.

出版信息

Breast Cancer Res. 2006;8(5):111. doi: 10.1186/bcr1601.

DOI:10.1186/bcr1601
PMID:17049068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1779496/
Abstract

Placebo controlled trials in over 25,000 women showed that tamoxifen reduced breast cancer risk by about 40% and osteoporotic fracture risk by about 32%. Similarly placebo controlled trials in nearly 18,000 women showed that raloxifene reduced breast cancer risk by 44-72% and osteoporotic fractures risk by 30-50%. A direct comparison of tamoxifen with raloxifene showed similar risk reduction for breast cancer and osteoporotic fractures with less toxicity for raloxifene.

摘要

超过25000名女性参与的安慰剂对照试验表明,他莫昔芬可将乳腺癌风险降低约40%,将骨质疏松性骨折风险降低约32%。同样,近18000名女性参与的安慰剂对照试验表明,雷洛昔芬可将乳腺癌风险降低44%-72%,将骨质疏松性骨折风险降低30%-50%。他莫昔芬与雷洛昔芬的直接对比显示,二者在降低乳腺癌和骨质疏松性骨折风险方面效果相似,但雷洛昔芬的毒性更小。

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Prevention of breast cancer using selective oestrogen receptor modulators (SERMs).使用选择性雌激素受体调节剂(SERM)预防乳腺癌。
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本文引用的文献

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Effects of raloxifene on cardiovascular events and breast cancer in postmenopausal women.雷洛昔芬对绝经后妇女心血管事件及乳腺癌的影响。
N Engl J Med. 2006 Jul 13;355(2):125-37. doi: 10.1056/NEJMoa062462.
2
Effects of tamoxifen vs raloxifene on the risk of developing invasive breast cancer and other disease outcomes: the NSABP Study of Tamoxifen and Raloxifene (STAR) P-2 trial.他莫昔芬与雷洛昔芬对发生浸润性乳腺癌及其他疾病转归风险的影响:国家外科辅助乳腺和肠道项目(NSABP)他莫昔芬与雷洛昔芬研究(STAR)P-2试验
JAMA. 2006 Jun 21;295(23):2727-41. doi: 10.1001/jama.295.23.joc60074. Epub 2006 Jun 5.
3
Continuing outcomes relevant to Evista: breast cancer incidence in postmenopausal osteoporotic women in a randomized trial of raloxifene.与易维特相关的持续结果:雷洛昔芬随机试验中绝经后骨质疏松妇女的乳腺癌发病率。
J Natl Cancer Inst. 2004 Dec 1;96(23):1751-61. doi: 10.1093/jnci/djh319.
4
Overview of the main outcomes in breast-cancer prevention trials.乳腺癌预防试验主要结果概述。
Lancet. 2003 Jan 25;361(9354):296-300. doi: 10.1016/S0140-6736(03)12342-2.
5
Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene: results from a 3-year randomized clinical trial. Multiple Outcomes of Raloxifene Evaluation (MORE) Investigators.雷洛昔芬治疗绝经后骨质疏松症妇女降低椎体骨折风险:一项3年随机临床试验的结果。雷洛昔芬评估多结局(MORE)研究组。
JAMA. 1999 Aug 18;282(7):637-45. doi: 10.1001/jama.282.7.637.
6
The effect of raloxifene on risk of breast cancer in postmenopausal women: results from the MORE randomized trial. Multiple Outcomes of Raloxifene Evaluation.雷洛昔芬对绝经后妇女乳腺癌风险的影响:MORE随机试验结果。雷洛昔芬评估的多项结果
JAMA. 1999 Jun 16;281(23):2189-97. doi: 10.1001/jama.281.23.2189.
7
Endometrial cancer in tamoxifen-treated breast cancer patients: findings from the National Surgical Adjuvant Breast and Bowel Project (NSABP) B-14.他莫昔芬治疗的乳腺癌患者中的子宫内膜癌:来自国家外科辅助乳腺和肠道项目(NSABP)B-14的研究结果。
J Natl Cancer Inst. 1994 Apr 6;86(7):527-37. doi: 10.1093/jnci/86.7.527.
8
Projecting individualized probabilities of developing breast cancer for white females who are being examined annually.为每年接受检查的白人女性预测患乳腺癌的个体概率。
J Natl Cancer Inst. 1989 Dec 20;81(24):1879-86. doi: 10.1093/jnci/81.24.1879.