Is long-term adjuvant treatment of breast cancer with anastrozole indicated?

Abstract:

BACKGROUND:Tamoxifen is the established adjuvant treatment for postmenopausal women with hormone-sensitive breast cancer. OBJECTIVE:To determine whether the aromatase inhibitor anastrozole should replace tamoxifen as the adjuvant treatment in this cancer. METHODS:Two recent trials of anastrozole and tamoxifen as adjuvant treatment were evaluated. RESULTS/CONCLUSION:The Arimidex, Tamoxifen, Alone or in Combination (ATAC) trial showed that 5 years of adjuvant therapy with anastrozole reduced recurrence of breast cancer to a greater extent than did tamoxifen. The Austrian Breast and Colorectal Cancer Study Group (ABCSG) Trial 6a showed that after 5 years of adjuvant treatment with tamoxifen more benefit was achieved by continuing with adjuvant anastrozole for 3 years than no further treatment. Although the long-term adjuvant treatment of hormone receptor positive breast cancer with anastrozole is indicated, questions remain as to how long the adjuvant treatment with anastrozole should continue.

authors

Doggrell SA

doi

10.1517/14656566.9.9.1619

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1619-22

issue

9

eissn

1465-6566

issn

1744-7666

journal_volume

9

pub_type

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