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Pharmacologic treatment of male breast cancer
Abstract
Male breast cancer is an uncommon condition. It often occurs in settings in which there is an imbalance between androgens and oestrogens. Genetics plays an important role, as many cases are associated with mutations in BRCA2 or other genes. Male breast cancer occurs at an older age than female breast cancer and is frequently diagnosed at a later stage. Tumors are predominantly oestrogen and progesterone positive. Prognosis is approximately equivalent to that of breast cancer in females when matched for age, stage and hormonal receptors. The recommended treatment for male breast cancer is similar to that for breast cancer in postmenopausal females. However, the presence of androgens in males has a strong effect on the hormonal milieu and the ability of male patients to respond to hormonal agents. When pharmacologic treatment is required, tamoxifen is effective for first-line therapy. Other hormonal approaches such as orchiectomy, aromatase inhibitors and androgen ablation may be useful in later lines of therapy.
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“In the studies published so far aromatase inhibition in men did not appear to be associated with adverse effects on bone in a number of studies [37,59,82,83], but in a more recent study a decrease of spine BMD was observed after one year of treatment of elderly men with anastrozole [84].”
From Aromatase inhibitors in men: effects and therapeutic options (2011) · cites this paper as [59]
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“In an earlier study a combination of spironolactone and testolactone proved effective [56], whereas in later studies the combination of bicalutamide and anastrozole was used [57-59].”
From Aromatase inhibitors in men: effects and therapeutic options (2011) · cites this paper as [59]
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Metadata
- Authors
- Hayes, T. G.
- Affiliations
- United States Department of Veterans Affairs (US)
- Corresponding author
- Hayes, Teresa G
- Venue
- Expert Opinion on Pharmacotherapy
- Publisher
- Informa UK Limited
- Published
- 2009-08-27
- Volume
- 10
- Issue
- 15
- Pages
- 2499-2510
- ISSN
- 1465-6566 (ISSN-L)
- 1744-7666
- OpenAlex
- W2037293746
- Cited by
- 20
- References
- 200
- Citations by year
- 2022: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2
- FWCI
- 2.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Opinion on Pharmacotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Male Breast Health Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Keywords
- male breast cancer, tamoxifen, hormone therapy, aromatase inhibitors, androgen deprivation therapy, orchiectomy, BRCA2 mutation, oestrogen receptor, progesterone receptor, prognosis
- MeSH terms
- Age Factors, Androgens, Antineoplastic Agents, Breast Neoplasms, Clinical Trials as Topic, Female, Humans, Male, Mutation, Neoplasm Staging, Prognosis, Breast Neoplasms, Male, BRCA2 Protein
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