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Endocrine Therapy plus Zoledronic Acid in Premenopausal Breast Cancer
Ist Teil von
The New England journal of medicine, 2009-02, Vol.360 (7), p.679-691
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
This large trial tested the effect of adding zoledronic acid to adjuvant endocrine treatment (goserelin plus tamoxifen or anastrozole) in premenopausal women with early-stage breast cancer. The results show that adding zoledronic acid to adjuvant endocrine therapy prolongs disease-free survival in these patients without adding substantially to the burden of adverse events.
These results show that adding zoledronic acid to adjuvant endocrine therapy prolongs disease-free survival in premenopausal women with early-stage breast cancer.
The optimal management of endocrine-responsive early breast cancer in premenopausal women remains controversial. Although aromatase inhibitors have shown benefits beyond those of tamoxifen in postmenopausal women,
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their benefits in premenopausal women, among whom endocrine-responsive disease accounts for 62% of early breast cancers, are unknown.
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The combination of ovarian suppression with the use of gonadotropin-releasing hormone analogues and tamoxifen is a standard of care for premenopausal women because it is at least as effective as established cytotoxic chemotherapy regimens and is better tolerated than chemotherapy.
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In a study involving premenopausal women with advanced breast cancer, ovarian suppression combined with . . .