434 articles – 314 Notices  [english version]
Fiche concise
(Hormone replacement therapy in menopause and risk of breast cancer)
Fournier A., Hill C. A., Clavel-Chapelon F.
Bulletin du cancer 90, 10 (2003) 821-31 - http://www.hal.inserm.fr/inserm-00170282
(14706912)
[Hormone replacement therapy in menopause and risk of breast cancer]
Agnès Fournier1, Catherine Hill2, Françoise Clavel-Chapelon () 1
1 :  E3N - Nutrition, hormones et cancer: épidémiologie et prévention
http://www.idf.inserm.fr/site/eri20/
INSERM : ERI20 – IFR69 – Université Paris XI - Paris Sud : EA4045
Institut Gustave-Roussy 39 rue Camille Desmoulins 94805 Villejuif CEDEX
France
2 :  Service de biostatistique et d'épidémiologie
Institut Gustave-Roussy
Villejuif
France
Many studies have analysed the relation between hormone replacement therapy use and breast cancer risk. We performed a synthesis of their results based on a meta-analysis published in 1997, on fifteen observational studies published afterwards, and on a recent randomised trial. The accumulated evidence shows a higher risk of breast cancer among HRT ever users compared to non users. The risk increases with treatment duration and disappears a few years after the end of the treatment. Furthermore, recent observational studies showed that this risk may be higher when progestational agents are added to estrogens than when estrogens are used alone. This may be important in terms of public health since combination therapy with estrogen and progestational agents have become the standard of care among women with an intact uterus and are now commonly used. The effects of the treatments used in France, that are not those widely studied until now, must be evaluated, ideally through a randomized trial.
Sciences du Vivant/Santé publique et épidémiologie
Sciences du Vivant/Cancérologie
Sciences du Vivant/Médecine humaine et pathologie/Gynécologie et obstétrique
Français
0007-4551

Articles dans des revues avec comité de lecture
Bulletin du Cancer (Bull Cancer)
Publisher John Libbey Eurotext
ISSN 0007-4551 (eISSN : 1769-6917)
non spécifiée
10/2003
90
10
821-31

hormone replacement therapy – menopause – breast cancer – estrogens – progestogens
Aged – Breast Neoplasms – Estrogen Replacement Therapy – Female – Hormone Replacement Therapy – Humans – Menopause – Meta-Analysis – Middle Aged – Randomized Controlled Trials – Risk
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