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Researchers evaluate ERT in women with history of breast cancer.(estrogen replacement therapy)

Women's Health Weekly

| November 21, 2002 | COPYRIGHT 2002 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2002 NOV 21 - (NewsRx.com & NewsRx.net) -- Estrogen replacement therapy (ERT) does not cause new or recurrent breast cancer in menopausal women with a history of treated, localized breast cancer.

Findings in a study published in the journal Cancer indicate that after 5 years ERT had no adverse effect on survival, nor did it compromise disease-free states among women with a history of treated localized breast cancer in the one of the longest follow-up trials to date. This provides additional reassuring evidence of the safety of ERT in menopausal women with treated primary breast cancer who have been heretofore denied the health benefits of ERT.

ERT has been shown to have important health benefits for many postmenopausal women, including skeletal, cardiovascular and quality-of-life improvements. Concerns over the risks of ERT for some women, particularly those with a history of breast cancer, have tempered its use in those populations. In theory ERT may reactivate breast cancer cells but no studies have yet linked ERT to breast cancer recurrence.

Women with breast cancer often undergo premature ovarian failure because of chemotherapy and potentially may benefit from ERT. To date only a few small prospective and retrospective studies have been conducted and suggest that ERT may be safe in women with a history of treated breast cancer.

Vassilopoulou-Sellin et al. conducted a randomized, prospective clinical trial to evaluate the safety and efficacy of ERT in patients with a history of treated stage I or II localized breast cancer. Women with a history of known estrogen receptor (ER)-positive tumors were specifically excluded from this study. Seventy-seven women participated in the randomized arm for which 34 received ERT and 43 did not. An additional 222 women participated in the nonrandomized arm of the study for which 22 received ERT and 200 did not. No statistically significant differences between the clinical prognostic characteristics of randomized and nonrandomized patients were observed.

Participants were evaluated every 3 months for 2 years and every 6 months for an additional 3 years with clinical and laboratory assessments, including lipid profile, ...

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Source: HighBeam Research, Researchers evaluate ERT in women with history of breast...

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