Evaluation of menopause and treatment choice of breast cancer patients before endocrine therapy
10.3760／cma.j.issn.0253?3766.2019.12.013
- VernacularTitle:乳腺癌患者芳香化酶抑制剂治疗前的绝经判定和治疗选择
- Author:
Xiangying MENG
1
;
Bing SUN
;
Santai SONG
Author Information
1. 解放军总医院第五医学中心(南院区)全军肿瘤中心
- Keywords:
Breast neoplasms;
Aromatase Inhibitors;
Drug therapy;
Menopause
- From:
Chinese Journal of Oncology
2019;41(12):953-958
- CountryChina
- Language:Chinese
-
Abstract:
Aromatase inhibitors ( AIs) directly applies to postmenopausal breast cancer patients. Patients underwent bilateral ovariectomy or ≥60 years were acknowledged as postmenopausal.Alternatively, for ＜60 years breast cancer patients, sex hormone detection to evaluate menopause is recommended by National Comprehensive Cancer Network ( NCCN) guideline, textbooks, and AIs clinical trials.However, series of clinical trial found that, a broad overlap region of follicle stimulating hormone and estradiol appeared between premenopausal and postmenopausal patients, which unable to determine the menopause even with sensitivity promotion of detection equipment or manners.We have abandon this detection in clinical treatment, and decision making was only according to the relapse risk and disease status. We recommend bilateral ovariectomy resection accompanied with AIs for breast cancer patients with high recurrence risk (e. g. T3?4 or LNM≥4) or patients with advanced metastatic disease.However, patients with low or moderate recurrence risk can be treated with tamoxifen.
