Safety of vaginal oestrogens for genitourinary symptoms in women with breast cancer

被引：0
作者：
Kiely, Belinda E. [1 ,2 ,3 ]
Liang, Rhea [4 ,5 ]
Jang, Christina [6 ,7 ]
Magraith, Karen [8 ,9 ,10 ]
机构：
[1] Campbelltown Hosp, Dept Med Oncol, Sydney, NSW, Australia
[2] Concord Hosp, Dept Med Oncol, Sydney, NSW, Australia
[3] Univ Sydney, NHMRC, Clin Trials Ctr, Sydney, NSW, Australia
[4] Gold Coast Hosp, Gold Coast, Qld, Australia
[5] Bond Univ, Gold Coast, Qld, Australia
[6] Royal Brisbane & Womens Hosp, Dept Endocrinol & Diabet, Brisbane, Qld, Australia
[7] Univ Queensland, Fac Med, Brisbane, Qld, Australia
[8] Cascade Rd Gen Practice, Hobart, Tas, Australia
[9] Univ Tasmania, Sch Med, Hobart, Tas, Australia
[10] Australasian Menopause Soc, Healesville, Vic, Spain
来源：
AUSTRALIAN JOURNAL OF GENERAL PRACTICE | 2024年 / 53卷 / 05期
关键词：
AROMATASE INHIBITORS; UROGENITAL ATROPHY; THERAPY; MANAGEMENT; METAANALYSIS; MENOPAUSE; SURVIVORS;
D O I：
暂无
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Background Oestrogen deprivation is the mainstay of treatment for women with hormone receptor -positive breast cancer, but unfortunately it causes multiple side effects that can significantly impair quality of life. Genitourinary symptoms are very common and although these symptoms can be effectively managed with vaginal oestrogens, concerns about their safety in women with breast cancer limits their use. Objective The aim of this review is to provide a summary of the data on the safety of vaginal oestrogens in women with breast cancer to help general practitioners advise their patients in this situation. Discussion Although there are no large randomised prospective studies to assess safety, the current evidence suggests reassurance can be provided to the majority of women with a history of breast cancer considering vaginal oestrogens. Consultation with the oncology team is advised for women taking aromatase inhibitors, where the safety of vaginal oestrogens is less certain.
引用
收藏
页码：305 / 310
页数：6
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