Mouridsen Henning T, Andersen Jørn
Rigshospitalet, Finsencentret, Onkologisk Klinisk 5074, København Ø.
Ugeskr Laeger. 2007 Sep 10;169(37):3072-6.
For women with steroid receptor-positive breast cancers, endocrine therapy has proven to be a major component of adjuvant therapy reducing the risk of recurrence and death. The selective estrogen-receptor modulator (SERM) tamoxifen has been well established as safe and effective in the adjuvant care of both pre- and postmenopausal women. For premenopausal women, ovarian suppression is an important option to be considered. Additionally, aromatase inhibitors have recently demonstrated further benefits in postmenopausal women. The ideal sequencing of treatment with tamoxifen and/or an aromatase inhibitor is the subject of several ongoing studies.
对于激素受体阳性乳腺癌女性患者,内分泌治疗已被证明是辅助治疗的主要组成部分,可降低复发和死亡风险。选择性雌激素受体调节剂(SERM)他莫昔芬已被充分证实对绝经前和绝经后女性的辅助治疗均安全有效。对于绝经前女性,卵巢抑制是一个需要考虑的重要选择。此外,芳香化酶抑制剂最近在绝经后女性中显示出更多益处。他莫昔芬和/或芳香化酶抑制剂的理想治疗顺序是多项正在进行的研究的主题。