HORMONE REPLACEMENT THERAPY AND CANCER

<p>Background. Sex steroids are not known to damage DNA directly. They can stimulate or inhibit cell proliferation, and thus can modulate tumor developmental progression.</p><p>Results. Sex steroids-related tumors in women are represented by breast cancer and endometrial cancer, an...

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Main Author: Marjetka Uršič Vrščaj
Format: Article
Language:English
Published: Slovenian Medical Association 2003-12-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/1956
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author Marjetka Uršič Vrščaj
author_facet Marjetka Uršič Vrščaj
author_sort Marjetka Uršič Vrščaj
collection DOAJ
description <p>Background. Sex steroids are not known to damage DNA directly. They can stimulate or inhibit cell proliferation, and thus can modulate tumor developmental progression.</p><p>Results. Sex steroids-related tumors in women are represented by breast cancer and endometrial cancer, and a possible relationship exists between sex steroids and both ovarian and colon cancer. Among current ERT users or those who stopped use 1–4 years previously, the relative risk of having breast cancer diagnosed is low, increases by factor of 1.023 for each year of hormone use. An appropriate combination of estrogen and progestin does not appear to increase, and may even decrease, the risk of endometrial cancer. Studies on HRT and risk of epithelial ovarian cancer have produced conflicting results but most data seem to exclude a strong assotiation. It is important that available data suggest a reduced risk of benign colorectal adenoma and colon cancer for 30–40%.</p><p>Conclusions. After breast cancer, endometrial cancer, melanoma or epithelial ovarian cancer HRT is not absolute contraindication. Low-grade endometrial stromal sarcoma should be considered to be a contraindication to HRT.<br /><br /></p>
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spelling doaj.art-d1fb25fe12e34aa183690005621bbe112022-12-22T02:32:56ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242003-12-017201452HORMONE REPLACEMENT THERAPY AND CANCERMarjetka Uršič Vrščaj0Onkološki inštitut Zaloška 2 1000 Ljubljana<p>Background. Sex steroids are not known to damage DNA directly. They can stimulate or inhibit cell proliferation, and thus can modulate tumor developmental progression.</p><p>Results. Sex steroids-related tumors in women are represented by breast cancer and endometrial cancer, and a possible relationship exists between sex steroids and both ovarian and colon cancer. Among current ERT users or those who stopped use 1–4 years previously, the relative risk of having breast cancer diagnosed is low, increases by factor of 1.023 for each year of hormone use. An appropriate combination of estrogen and progestin does not appear to increase, and may even decrease, the risk of endometrial cancer. Studies on HRT and risk of epithelial ovarian cancer have produced conflicting results but most data seem to exclude a strong assotiation. It is important that available data suggest a reduced risk of benign colorectal adenoma and colon cancer for 30–40%.</p><p>Conclusions. After breast cancer, endometrial cancer, melanoma or epithelial ovarian cancer HRT is not absolute contraindication. Low-grade endometrial stromal sarcoma should be considered to be a contraindication to HRT.<br /><br /></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1956estrogensreceptorsoncogene proteinscancer recurrencemenopauseselective estrogen receptors modulators
spellingShingle Marjetka Uršič Vrščaj
HORMONE REPLACEMENT THERAPY AND CANCER
Zdravniški Vestnik
estrogens
receptors
oncogene proteins
cancer recurrence
menopause
selective estrogen receptors modulators
title HORMONE REPLACEMENT THERAPY AND CANCER
title_full HORMONE REPLACEMENT THERAPY AND CANCER
title_fullStr HORMONE REPLACEMENT THERAPY AND CANCER
title_full_unstemmed HORMONE REPLACEMENT THERAPY AND CANCER
title_short HORMONE REPLACEMENT THERAPY AND CANCER
title_sort hormone replacement therapy and cancer
topic estrogens
receptors
oncogene proteins
cancer recurrence
menopause
selective estrogen receptors modulators
url http://vestnik.szd.si/index.php/ZdravVest/article/view/1956
work_keys_str_mv AT marjetkaursicvrscaj hormonereplacementtherapyandcancer