Suppr超能文献

性腺疗法会促进乳腺癌发生吗?接受性腺类固醇治疗的肿瘤疾病幸存者队列中的乳腺癌发病率。

Is Gonadal Therapy a Promoter of Breast Cancer? Incidence of Breast Cancer in a Cohort of Survivors of Oncological Diseases Treated with Gonadal Steroids.

作者信息

Dias Daniela, Esteves Susana, Andrade Sónia, Maciel Joana, Cavaco Daniela, Simões-Pereira Joana, Pereira Maria Conceição

机构信息

Endocrinology Department, Portuguese Cancer Institute of Lisbon, Lisbon, Portugal.

Clinical Research Department, Portuguese Cancer Institute of Lisbon, Lisbon, Portugal.

出版信息

Case Rep Oncol. 2020 Mar 31;13(1):347-357. doi: 10.1159/000506395. eCollection 2020 Jan-Apr.

Abstract

There is a great controversy about hormonal replacement therapy in women among the members of the scientific community. Cancer survivors have sometimes had their ovary function totally or partially destroyed, thus affecting their development and quality of life. In this study, we were looking for adverse effects caused, eventually, by estroprogestative therapy in a cohort of supplemented survivors. The occurrence of breast cancer was our main concern. Ours is a retrospective study based on the clinical records of 174 survivors of several cancer diseases. Their median ages within each of the following time frames were: diagnosis - 22 years old; start of endocrine treatment - 26 years old, and duration of treatment - 12 years old. Evaluation was composed of breast cancer assessment, osteopenia and osteoporosis incidence, and vascular events. We have found a very low incidence of breast cancer as well as of vascular events. After treatment, a high percentage of our sample displayed bone mass improvement.

摘要

科学界成员对于女性激素替代疗法存在很大争议。癌症幸存者的卵巢功能有时会完全或部分遭到破坏,从而影响其发育和生活质量。在本研究中,我们探寻雌激素 - 孕激素疗法最终在一组接受补充治疗的幸存者中所引发的不良反应。乳腺癌的发生是我们主要关注的问题。我们的研究是一项基于174名多种癌症疾病幸存者临床记录的回顾性研究。他们在以下每个时间框架内的年龄中位数分别为:确诊时——22岁;开始内分泌治疗时——26岁,以及治疗时长——12岁。评估内容包括乳腺癌评估、骨质减少和骨质疏松发病率以及血管事件。我们发现乳腺癌以及血管事件的发生率非常低。治疗后,我们样本中的很大一部分显示骨量有所改善。

相似文献

3
Osteopenia and osteoporosis in women with breast cancer.
Semin Oncol. 2003 Dec;30(6):763-75. doi: 10.1053/j.seminoncol.2003.08.028.
4
Low bone mineral density is associated with breast cancer in postmenopausal women: a case-control study.
Climacteric. 2017 Oct;20(5):491-497. doi: 10.1080/13697137.2017.1329290. Epub 2017 Jun 1.
5
Assessment of ovarian failure and osteoporosis in premenopausal breast cancer survivors.
J Oncol Pharm Pract. 2005 Jun;11(2):37-43. doi: 10.1191/1078155205jp144oa.
6
Estrogen replacement therapy after breast cancer: a 12-year follow-up.
Ann Surg Oncol. 2001 Dec;8(10):828-32. doi: 10.1007/s10434-001-0828-4.
7
Bone health management of Australian breast cancer survivors receiving hormonal therapy.
Intern Med J. 2015 Nov;45(11):1182-5. doi: 10.1111/imj.12897.
8
Evaluation of the Incidence of Hematologic Malignant Neoplasms Among Breast Cancer Survivors in France.
JAMA Netw Open. 2019 Jan 4;2(1):e187147. doi: 10.1001/jamanetworkopen.2018.7147.
10
Exogenous reproductive hormone use in breast cancer survivors and previvors.
Nat Rev Clin Oncol. 2018 Apr;15(4):249-261. doi: 10.1038/nrclinonc.2017.207. Epub 2018 Jan 23.

本文引用的文献

1
Menopausal Hormone Therapy Is Associated With Reduced Total and Visceral Adiposity: The OsteoLaus Cohort.
J Clin Endocrinol Metab. 2018 May 1;103(5):1948-1957. doi: 10.1210/jc.2017-02449.
2
Hormone replacement therapy in cancer survivors: Utopia?
Crit Rev Oncol Hematol. 2018 Apr;124:51-60. doi: 10.1016/j.critrevonc.2018.02.005. Epub 2018 Feb 8.
4
Clinical and histological features of second breast cancers following radiotherapy for childhood and young adult malignancy.
Br J Radiol. 2018 Jun;91(1086):20170824. doi: 10.1259/bjr.20170824. Epub 2018 Mar 15.
5
Second Malignancies after Hematopoietic Stem Cell Transplantation.
Curr Treat Options Oncol. 2018 Feb 8;19(2):9. doi: 10.1007/s11864-018-0528-y.
7
Estradiol Therapy After Menopause Mitigates Effects of Stress on Cortisol and Working Memory.
J Clin Endocrinol Metab. 2017 Dec 1;102(12):4457-4466. doi: 10.1210/jc.2017-00825.
8
The 2017 hormone therapy position statement of The North American Menopause Society.
Menopause. 2017 Jul;24(7):728-753. doi: 10.1097/GME.0000000000000921.
10
Gene-Hormone Therapy Interaction and Fracture Risk in Postmenopausal Women.
J Clin Endocrinol Metab. 2017 Jun 1;102(6):1908-1916. doi: 10.1210/jc.2016-2936.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验