Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study

Objective:Testosterone (T) therapy has been shown to be breast protective in both pre- and post-menopausal patients. Additionally, estradiol (E) does not cause breast cancer (BC) in the majority of the world’s literatures. This study aimed to investigate the incidence of invasive BC (IBC) in pre- an...

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Main Authors: Gary Donovitz, Mandy Cotten
Format: Article
Language:English
Published: Galenos Publishing House 2021-04-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-cancer-ncidence-reduction-in-women-treated-/47126
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author Gary Donovitz
Mandy Cotten
author_facet Gary Donovitz
Mandy Cotten
author_sort Gary Donovitz
collection DOAJ
description Objective:Testosterone (T) therapy has been shown to be breast protective in both pre- and post-menopausal patients. Additionally, estradiol (E) does not cause breast cancer (BC) in the majority of the world’s literatures. This study aimed to investigate the incidence of invasive BC (IBC) in pre- and postmenopausal women treated with T therapy and T in combination with E (T/E).Materials and Methods:Since January 2010, a total of 2,377 pre- and post-menopausal women were treated with T or T/E implants. IBC rates were reported based on newly diagnosed IBC cases in the total study. Total cases divided by the total sample size and years in study was expressed as an incidence per 100,000 person-years (P-Ys). The BC incidence was compared with age-specific Surveillance Epidemiology and End Results (SEER) incidence rates.Results:As of October 2020, 14 cases diagnosed with IBC have been found in 9,746 P-Y of follow up for an incidence of 144 cases per 100,000 P-Y, substantially less than the age-specific SEER incidence rates (223/100,000), placebo arm of Women’s Health Initiative Study (330/100,000), and never users of hormone therapy from the Million Women Study (312/100,000).Conclusion:T and/or T/E pellet implants significantly reduced the incidence of BC in pre- and post-menopausal women. The addition of E did not increase the incidence over using T alone. This is the second multi-year long-term study demonstrating the benefits of T therapy in reducing the incidence of IBC.
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spelling doaj.art-d64434e76f8e4aa3a939f4f68f4cd9ed2023-02-15T16:18:30ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312021-04-0117215015610.4274/ejbh.galenos.2021.621313049054Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence StudyGary Donovitz0Mandy Cotten1 Morehouse College of Medicine, Atlanta, Georgia, USA Institute for Hormonal Balance, Arlington, Texas, USA Objective:Testosterone (T) therapy has been shown to be breast protective in both pre- and post-menopausal patients. Additionally, estradiol (E) does not cause breast cancer (BC) in the majority of the world’s literatures. This study aimed to investigate the incidence of invasive BC (IBC) in pre- and postmenopausal women treated with T therapy and T in combination with E (T/E).Materials and Methods:Since January 2010, a total of 2,377 pre- and post-menopausal women were treated with T or T/E implants. IBC rates were reported based on newly diagnosed IBC cases in the total study. Total cases divided by the total sample size and years in study was expressed as an incidence per 100,000 person-years (P-Ys). The BC incidence was compared with age-specific Surveillance Epidemiology and End Results (SEER) incidence rates.Results:As of October 2020, 14 cases diagnosed with IBC have been found in 9,746 P-Y of follow up for an incidence of 144 cases per 100,000 P-Y, substantially less than the age-specific SEER incidence rates (223/100,000), placebo arm of Women’s Health Initiative Study (330/100,000), and never users of hormone therapy from the Million Women Study (312/100,000).Conclusion:T and/or T/E pellet implants significantly reduced the incidence of BC in pre- and post-menopausal women. The addition of E did not increase the incidence over using T alone. This is the second multi-year long-term study demonstrating the benefits of T therapy in reducing the incidence of IBC. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-cancer-ncidence-reduction-in-women-treated-/47126 pellettestosterone pellet implantationestradiolbreast cancer riskhormone replacement therapy
spellingShingle Gary Donovitz
Mandy Cotten
Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study
European Journal of Breast Health
pellet
testosterone pellet implantation
estradiol
breast cancer risk
hormone replacement therapy
title Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study
title_full Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study
title_fullStr Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study
title_full_unstemmed Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study
title_short Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study
title_sort breast cancer incidence reduction in women treated with subcutaneous testosterone testosterone therapy and breast cancer incidence study
topic pellet
testosterone pellet implantation
estradiol
breast cancer risk
hormone replacement therapy
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/breast-cancer-ncidence-reduction-in-women-treated-/47126
work_keys_str_mv AT garydonovitz breastcancerincidencereductioninwomentreatedwithsubcutaneoustestosteronetestosteronetherapyandbreastcancerincidencestudy
AT mandycotten breastcancerincidencereductioninwomentreatedwithsubcutaneoustestosteronetestosteronetherapyandbreastcancerincidencestudy