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Home: Oncology Leader Commentary: Craig Hederson, MD

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

Historical perspective on adjuvant endocrine therapy
More recent trials of adjuvant ovarian ablation
Intergroup trial of adjuvant endocrine therapy
Is tamoxifen more effective in a low estrogen environment
Zoladex plus tamoxifen as adjuvant therapy
Choosing a method of ovarian ablation
Age and menopausal status
Adjuvant chemotherapy and the ovaries
Emotional issues in decision-making
Combining tamoxifen and an aromatase inhibitor in postmenopausal women
Taxanes as adjuvant therapy
Nodal status and choice of adjuvant systemic therapy
Timing of radiation therapy with AC-Taxol
Dose of adjuvant chemotherapy
Liposomal delivery of cytotoxics


Zoladex plus tamoxifen as adjuvant therapy

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 2 2000

Play Audio Below:

I’m now more convinced than ever that the women who really benefit from tamoxifen are the ones who have some change in menstrual function. And those data certainly suggested to me that if you became postmenopausal, either by chemotherapy or by Zoladex, tamoxifen was going to work much better, than if you were still actively menstruating. So, that’s just another reason to do and make certain that the patient is postmenopausal before you start your tamoxifen. And I think that a woman who was premenopausal, became postmenopausal, and then gets tamoxifen, – assuming now she has an ER-positive tumor – is going to get a lot more benefit. And the tamoxifen then has just the same benefit in that group of women as in postmenopausal women.

Relevant Articles:

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

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.

Relevant Clinical Trials:

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

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