Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1354, Houston, TX 77030, USA.
Ther Adv Med Oncol. 2012 May;4(3):107-12. doi: 10.1177/1758834012438214.
Aromatase inhibitors are well-established therapies in the neoadjuvant, adjuvant and metastatic settings for breast cancer. In adjuvant trials, this class of drugs has shown preventative properties by decreasing the rate of contralateral breast cancer. Recently, the National Cancer Institute of Canada Clinical Trials Group MAP.3 study evaluated exemestane as a breast cancer prevention agent for women with specified higher risks of developing breast cancer. We review the history of exemestane and evaluate the available evidence of its use for breast cancer prevention.
芳香酶抑制剂是乳腺癌新辅助治疗、辅助治疗和转移性治疗的成熟疗法。在辅助试验中,该类药物通过降低对侧乳腺癌的发生率显示出预防作用。最近,加拿大国家癌症研究所临床试验组 MAP.3 研究评估了依西美坦作为特定高乳腺癌风险女性的乳腺癌预防药物。我们回顾了依西美坦的历史,并评估了其用于乳腺癌预防的现有证据。