Gambrell R D
Obstet Gynecol Clin North Am. 1987 Mar;14(1):191-206.
Hormones, particularly estrogens, have been suspected for many years of being carcinogens. Retrospective studies from the mid-1970s indicate that unopposed estrogen replacement therapy increases the risk for endometrial cancer. However, recent reports have failed to incriminate even unopposed estrogens for any significantly increased risk of breast cancer. Added progestogen, in proper duration and dosage, almost completely negates the estrogen-increased risk for adenocarcinoma of the endometrium. There is increasing evidence that progestogen added to estrogen replacement may decrease the risk for carcinoma of the breast in some women.
多年来,激素,尤其是雌激素,一直被怀疑具有致癌性。20世纪70年代中期的回顾性研究表明,单纯雌激素替代疗法会增加子宫内膜癌的风险。然而,最近的报告甚至未能证明单纯雌激素会显著增加患乳腺癌的风险。添加适当疗程和剂量的孕激素,几乎可以完全消除雌激素增加的子宫内膜腺癌风险。越来越多的证据表明,在雌激素替代疗法中添加孕激素可能会降低一些女性患乳腺癌的风险。