Aromatase inhibitors in premenopausal women with breast cancer. This is a pdf file of an unedited manuscript that has been accepted. Before the menopause, oestrogen is mainly produced in the ovaries. Aromatase inhibitor endocrine therapy for breast cancer. But youd like to avoid uncomfortable side effects that might lower your quality of life. Ais are used mainly to treat women with hormone receptorpositive breast cancer. But some studies of anastrozole and exemestane have also found that they can lower breast cancer risk in postmenopausal women who are at increased risk. It is involved in the conversion of androgens to estrogens.
The use of aromatase inhibitors ais in the postmenopausal women has extended the survival. Pdf primarily, the role of the aromatase inhibitors has been investigated in postmenopausal women with breast cancer, although it is also now being. Can aromatase inhibitors lower the risk of breast cancer. This comprehensive volume brings together the current. Getting the best breast cancer treatment can feel like a balancing act. Three aromatase inhibitors ais are now fda approved and have been shown to be more effective than the antiestrogen tamoxifen and are well tolerated. But having a risk factor, or even many, does not mean that you are sure to get. Aromatase inhibitor endocrine therapy for breast cancer for more patient education information. Role of aromatase inhibitors in the treatment of breast cancer. Breast research unit, western general hospital, edinburgh, uk.
These drugs act by suppression of the supply of endogenous estrogens in fat, liver, and muscle cells and in breast tumor tissue itself. Aromatase inhibitors are endocrine agents which have a different mode of action against breast tumors in postmeno pausal women from that of tamoxifen. Pdf role of aromatase inhibitors in breast cancer researchgate. The potent and selective third generation aromatase inhibitors, anastrozole, letrozole, and exemestane, were. Aromatase inhibitors ais treat postmenopausal estrogen receptor positive tumours, which constitute the majority of breast cancer patients. Pdf resistance to aromatase inhibitors in breast cancer. Aromatase inhibitors represent an effective endocrine treatment for patients with hormone receptor positive breast cancer, both in early stage and in metastatic disease. Aromatase inhibitors in the treatment of breast cancer. Pdf microsomal cytochrome p450 cyp 450 enzyme aromatase belongs to cyp 19 super family. Use of an aromatase inhibitor as initial therapy or after treatment with tamoxifen is. Endocrine therapy is the cornerstone of treatment of the hormonesensitive subtype of breast cancer. Aromatase inhibitors as extended endocrine adjuvant therapy. Postmenopausal women with early stage and metastatic breast cancer are often treated with ais. Cardiotoxicity of aromatase inhibitors in breast cancer.
Estrogen is synthesized from testosterone by the enzyme aromatase this is why body builders use aromatase inhibitors. Used for post menopausal women who have er positive breast cancer. Aromatase inhibitors in the treatment of breast cancer endocrine. In general, aromatase inhibitors are only used to treat breast cancer in postmenopausal women. Aromatase inhibitors are used to treat breast cancer in women. Aromatase inhibitors for lowering breast cancer risk. Given the appreciable late recurrence rates in women with erpositive breast cancer following 5 years of adjuvant tamoxifen, the ma. Recommendations for prioritization, treatment and triage. Its efficacy as a firstline treatment in metastatic breast cancer has been demonstrated.
Key words breast cancer, aromatase inhibitors, premenopausal women, tamoxifen, lhrh analog. Aromatase inhibitors tend to cause fewer serious side effects than tamoxifen, such as blood clots, stroke, and endometrial cancer. Blocks the synthesis of estrogen lowers the estrogen level. Pdf role of aromatase inhibitors in the treatment of. As aromatase catalyzes the final and ratelimiting step in the biosynthesis of estrogen, inhibitors of this enzyme are effective targeted therapy for breast cancer. Aromatase inhibitors help reduce the amount of oestrogen made in the body.
217 1605 692 800 1435 67 178 258 935 556 1231 141 1259 1603 92 1289 407 567 1581 612 1426 1596 818 73 407 1681 1258 1137 1050 869 1574 559 263 1482 1031 625 548 1317 183 1308 1289 1138 705 611 1495 233 1192 1080 1111