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Risk of Breast Cancer Relapse Can Linger


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"Estrogen receptor status is a tumor marker we look at," Brewster said. "We know that those who have ER-positive tumors [have] cancers that are responsive to the effects of estrogen."

While women in the study were taking a variety of hormone therapies, none took five years of aromatase inhibitors, which are now the standard of care for postmenopausal women but weren't when the study began in 1985, Brewster said.

The study findings were published online Aug. 12 in the Journal of the National Cancer Institute.

Text Continues Below



Dr. Len Lichtenfeld, deputy chief medical officer for the American Cancer Society, said the study findings leave some unanswered questions, such as the best course of action at the five-year mark. But it offers some interesting information, he added.

"The major message is that even though women may have gone through five years of hormonal therapy, they are still at risk of relapse," he said. Another important finding, he added, is that those women with ER-positive tumors seem to be at higher risk than those with ER-negative tumors.

"Basically the jury is out on the potential value of additional treatment strategies once the five years is completed," Lichtenfeld said. "Based on this study, we need to be open to question whether other treatment programs may be appropriate in some of these women after the five-year period is completed."

More information

To learn more about hormone therapy for breast cancer, visit the American Cancer Society.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 8/12/2008

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SOURCES: Abenaa Brewster, M.D., assistant professor of medicine and medical oncologist, University of Texas M.D. Anderson Cancer Center in Houston; Len Lichtenfeld, M.D., deputy chief medical officer, American Cancer Society, Atlanta; Aug. 12, 2008, Journal of the National Cancer Institute


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