Bresat Cancer Update
Oncology Leader CommentarySpecial FeaturesPrevious Issues

Home: Oncology Leader Commentary: Nancy E. Davidson, MD

Click on the topic below for comments by Dr Nancy E. Davidson to comment on. You will also find links to related articles and clinical trials.

Intergroup study of adjuvant ovarian suppression
Main results of Intergroup adjuvant premenopausal study
Management of node-postive, ER+ premenopausal patients
Ovarian ablation after chemotherapy in patients who continue to menstrate
Harvey study of estrogen receptors
Use of adjuvant tamoxifen
Choice of aromatase inhibitor
Management of metastatic disease in younger women
Combined endocrine therapy in premenopausal patients with metastases
Tamoxifen for patients with DCIS
Psychosocial issue in young breast cancer patients
Risk for recurrence and use of cytotoxic therapy
Use of prognostic factors in invasive breast cancer

Ovarian ablation after chemotherapy in patients who continue to menstruate

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 3 2000

Play Audio Below:

I think it’s a really exciting strategy. I do have some reservations about whether or not we’d be able to do it, but there is talk within the Intergroup structure of trying to mount a trial. It would really be kind of a niche trial because you’d have to have what you said. You’d have to have a woman, who takes chemotherapy, who still has evidence of menstrual function at the end of that, and so you’re going to have to have a pretty big funnel to come down to those folks, I think. And then you’d have to have a randomization to an ovarian ablation strategy versus not. And I think most people would kind of automatically put those women on tamoxifen, so that’s also going to muddy the waters a little bit, it seems to me. But I know that several U.S. investigators, especially the folks in the north central group, they’re actually talking about joining an international breast cancer study group trial that wants to look at this question. So it may come, maybe through an international collaboration.

Relevant Links:

Combined treatment with buserelin and tamoxifen in premenopausal metastatic breast cancer: A randomized study.
Klijn, J. G. M.; Beex LVAM; Mauriac, L.; van Zijl, J. A.; Veyret, C.; Wildiers, J.; Jassem, J. Piccart, M.; Burghouts, J.; Becquart, D.; Seynaeve, C.; Mignolet, F., and Duchateau, L. (Reprint available from: Klijn JGM Dr Daniel den Hoed Klin, Rotterdam Canc Inst, Dept Med Oncol Groene Hilledijk 301 NL-3075 EA Rotterdam Netherlands). Journal of the National Cancer Institute. 92(11):903-911, 2000 Jun 7.

Prevention of rat mammary carcinoma utilizing leuprolide as an equivalent to oophorectomy.
Jett, E. A.; Lerner, M. R.; Lightfoot, S. A.; Hanas, J. S.; Brackett, D. J., and Hollingsworth, A. B. (Reprint available from: Hollingsworth AB Mercy Hosp, Womens Ctr 4300 McAuley Blvd Oklahoma City, OK 73120 USA). Breast Cancer Research & Treatment. 58(2):131-136, 1999 Nov.

Combined endocrine therapy for breast cancer - New life for an old idea?
Davidson, N. E. (Reprint available from: Davidson NE Johns Hopkins Oncol Ctr 1650 Orleans St,Rm 409 Baltimore, MD 21231 USA). Journal of the National Cancer Institute 92(11):859-860, 2000 Jun 7. No abstract

Age-related variation in the treatment and outcomes of patients with breast carcinoma
Golledge, J.; Wiggins, J. E., and Callam, M. J.. Cancer. 88(2):369-374, 2000 Jan 15.

Anastrozole is superior to tamoxifen as first-line therapy for advanced breast cancer in postmenopausal women: Results of a North American multicenter randomized trial.
Nabholtz, J. M.; Buzdar, A.; Pollak, M.; Harwin, W.; Burton, G.; Mangalik, A.; Steinberg, M.; Webster, A., and von Euler, M. Journal of Clinical Oncology. 18(22):3758-3767, 2000 Nov 15.

Relevant Clinical Trials:

Phase II Study of Exemestane and Goserelin in Premenopausal Women With Hormone Receptor Positive Metastatic Breast Cancer

Top of Page

Home · Contact us
Terms of use and general disclaimer