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绝经后激素治疗与乳腺癌风险:现状与未解问题。

Postmenopausal hormone therapy and breast cancer risk: current status and unanswered questions.

机构信息

Channing Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Endocrinol Metab Clin North Am. 2011 Sep;40(3):509-18, viii. doi: 10.1016/j.ecl.2011.05.006. Epub 2011 Jul 12.

DOI:10.1016/j.ecl.2011.05.006
PMID:21889717
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3167091/
Abstract

Many women take hormone therapy (HT) for menopausal symptom relief. Studies have tried to clarify whether various factors can modify the risk of HT, such as the age at initiation, dose, duration, or type of HT, or characteristics of the individual, such as family history or body mass index. The relative risks of breast cancer associated with HT across various subgroups of women should be considered similar, but absolute risks can vary significantly among women and this may inform individual decision making. For breast cancer survivors, systemic HT should be discouraged.

摘要

许多女性采用激素疗法(HT)缓解更年期症状。研究试图阐明各种因素是否可以改变 HT 的风险,例如起始年龄、剂量、持续时间或 HT 类型,或个体特征,如家族史或体重指数。应认为与 HT 相关的乳腺癌的相对风险在女性的各种亚组中相似,但绝对风险在女性中差异很大,这可能会影响个人决策。对于乳腺癌幸存者,应不鼓励使用全身 HT。

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本文引用的文献

1
Estrogen plus progestin and breast cancer incidence and mortality in postmenopausal women.雌激素加孕激素与绝经后妇女的乳腺癌发病率和死亡率。
JAMA. 2010 Oct 20;304(15):1684-92. doi: 10.1001/jama.2010.1500.
2
Breast cancer risk by breast density, menopause, and postmenopausal hormone therapy use.按乳腺密度、绝经和绝经后激素治疗使用情况划分的乳腺癌风险。
J Clin Oncol. 2010 Aug 20;28(24):3830-7. doi: 10.1200/JCO.2009.26.4770. Epub 2010 Jul 19.
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Estrogen alone in postmenopausal women and breast cancer detection by means of mammography and breast biopsy.绝经后妇女单独使用雌激素与乳腺 X 线摄影和乳腺活检检测乳腺癌。
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Estrogen-progestagen menopausal hormone therapy and breast cancer: does delay from menopause onset to treatment initiation influence risks?雌激素 - 孕激素绝经激素治疗与乳腺癌:从绝经开始到治疗开始的延迟会影响风险吗?
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7
Using basic science to design a clinical trial: baseline characteristics of women enrolled in the Kronos Early Estrogen Prevention Study (KEEPS).运用基础科学设计临床试验: Kronos 早期雌激素预防研究(KEEPS)中入组女性的基线特征。
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Hormone replacement therapy, family history, and breast cancer risk among postmenopausal women.绝经后女性的激素替代疗法、家族病史与乳腺癌风险
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