Safety of adjuvant endocrine therapies in hormone receptor-positive early breast cancer

被引:14
作者
Sehdev, S. [1 ]
Martin, G. [2 ]
Sideris, L. [3 ]
Lam, W. [4 ]
Brisson, S. [5 ]
机构
[1] Brampton Civ Hosp, William Osler Hlth Ctr, Oncol Grp, 2100 Bovaird Dr E, Brampton, ON L6R 3J7, Canada
[2] Univ Montreal, Hop Notre Dame, Montreal, PQ, Canada
[3] Univ Montreal, Maisonneuve Rosemont Hosp, Montreal, PQ, Canada
[4] Burnaby Hosp, Reg Canc Ctr, Burnaby, BC, Canada
[5] Hop Gatineau, Gatineau, PQ, Canada
关键词
Adjuvant endocrine therapy; breast cancer; aromatase inhibitors; side effects; CARDIOVASCULAR RISK-FACTORS; BONE-MINERAL DENSITY; POSTMENOPAUSAL WOMEN; AROMATASE INHIBITORS; TAMOXIFEN THERAPY; RANDOMIZED-TRIAL; ATAC; LETROZOLE; COMBINATION; OSTEOPOROSIS;
D O I
10.3747/co.v16i1.361
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Postmenopausal patients with hormone-sensitive early breast cancer are typically treated with adjuvant endocrine therapy, which significantly reduces the risk of recurrence. Because treatment is of a long duration, side effects From adjuvant therapy can be problematic. The aromatase inhibitors (AIS) are replacing tamoxifen as first-line treatment agents for early breast cancer. Here, we present the side-effect data associated with AIS In relation to bone, gynecologic, and cardiovascular health and to arthralgia and myalgia. Although AIS have been shown to decrease bone density, increase arthralgia, and affect vaginal health, these adverse events are usually manageable, and several strategies can be followed to improve quality of life in women on AI treatment. To optimize adherence to therapy. It is important that these issues are addressed so that women can benefit from treatment.
引用
收藏
页码:S16 / S25
页数:10
相关论文
共 71 条
  • [61] Osteoporosis
    Sambrook, Philip
    Cooper, Cyrus
    [J]. LANCET, 2006, 367 (9527) : 2010 - 2018
  • [62] SESTAK I, 2007, BREAST CANC RES T S1, V106
  • [63] SINGH S, 2007, BREAST CANC RES T S1, V106
  • [64] Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women - Results from the National Osteoporosis Risk Assessment
    Siris, ES
    Miller, PD
    Barrett-Connor, E
    Faulkner, KG
    Wehren, LE
    Abbott, TA
    Berger, ML
    Santora, AC
    Sherwood, LM
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (22): : 2815 - 2822
  • [65] Active tamoxifen metabolite plasma concentrations after coadministration of tamoxifen and the selective serotonin reuptake inhibitor paroxetine
    Stearns, V
    Johnson, MD
    Rae, JM
    Morocho, A
    Novielli, A
    Bhargava, P
    Hayes, DF
    Desta, Z
    Flockhart, DA
    [J]. JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2003, 95 (23): : 1758 - 1764
  • [66] Thorne C, 2007, Curr Oncol, V14 Suppl 1, pS11, DOI 10.3747/co.2007.152
  • [67] Thürlimann B, 2005, NEW ENGL J MED, V353, P2747
  • [68] VANPOZNAK C, 2007, BREAST CANC RES T S1, V106
  • [69] The influence of letrozole on serum lipid concentrations in postmenopausal women with primary breast cancer who have completed 5 years of adjuvant tamoxifen (NCIC CTG MA.17L)
    Wasan, KM
    Goss, PE
    Pritchard, PH
    Shepherd, L
    Palmer, MJ
    Liu, S
    Tu, D
    Ingle, JN
    Heath, A
    DeAngelis, D
    Perez, EA
    [J]. ANNALS OF ONCOLOGY, 2005, 16 (05) : 707 - 715
  • [70] Effect of anastrozole and tamoxifen as adjuvant treatment for early-stage breast cancer: 100-month analysis of the ATAC trial
    Williams, Norman
    [J]. LANCET ONCOLOGY, 2008, 9 (01) : 45 - 53