Anastrozole, an aromatase inhibitor, and medroxyprogesterone acetate therapy in premenopausal obese women with endometrial cancer: a report of two cases successfully treated without hysterectomy

被引:44
作者
Burnett, AF
Bahador, A
Amezcua, C
机构
[1] Univ So Calif, Div Gynecol Oncol, Dept Obstet & Gynecol, Los Angeles, CA 90033 USA
[2] City Hope Natl Med Ctr, Div Gynecol Oncol, Duarte, CA 91010 USA
[3] Univ So Calif, Dept Pathol, Los Angeles, CA 90033 USA
关键词
anastrazole; medroxyprogesterone acetate; hysterectomy;
D O I
10.1016/j.ygyno.2004.06.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Background. Hormonal therapy for endometrial cancer is occasionally warranted in the premenopausal woman who is interested in maintaining fertility. Combining progesterone with an agent that eliminates the adipose production of estrogen will theoretically be more effective than progesterone alone. Cases. Two cases of reproductive-aged women with grade 1 endometrial cancer who were treated with medroxyprogesterone acetate and anastrozole daily for 3 and 6 months subsequently reverted to normal endometrium. Conclusion. Progesterone combined with the elimination of adipose production of estrogen may be an effective therapy in well-differentiated endometrial cancer in the obese premenopausal woman. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:832 / 834
页数:3
相关论文
共 12 条
[1]
'Arimidex' (anastrozole) versus tamoxifen as adjuvant therapy in postmenopausal women with early breast cancer-efficacy overview [J].
Buzdar, AU .
JOURNAL OF STEROID BIOCHEMISTRY AND MOLECULAR BIOLOGY, 2003, 86 (3-5) :399-403
[2]
Buzdar AU, 1997, CANCER, V79, P730, DOI 10.1002/(SICI)1097-0142(19970215)79:4<730::AID-CNCR10>3.0.CO
[3]
2-0
[4]
IMMUNOHISTOCHEMICAL EVALUATION OF ESTROGEN AND PROGESTERONE-RECEPTOR CONTENT IN 183 PATIENTS WITH ENDOMETRIAL CARCINOMA .1. CLINICAL AND HISTOLOGIC CORRELATIONS [J].
CARCANGIU, ML ;
CHAMBERS, JT ;
VOYNICK, IM ;
PIRRO, M ;
SCHWARTZ, PE .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1990, 94 (03) :247-254
[5]
Dowsett M, 1997, ONCOLOGY-BASEL, V54, P11
[6]
Gotlieb WH, 2003, OBSTET GYNECOL, V102, P718, DOI 10.1016/S0029-7844(03)00667-7
[7]
Imai M, 2001, EUR J GYNAECOL ONCOL, V22, P217
[8]
Implementation of assisted reproductive technologies following conservative management of FIGO grade I endometrial adenocarcinoma and/or complex hyperplasia with atypia [J].
Lowe, MP ;
Cooper, BC ;
Sood, AK ;
Davis, WA ;
Syrop, CH ;
Sorosky, JI .
GYNECOLOGIC ONCOLOGY, 2003, 91 (03) :569-572
[9]
MORROW CP, 1998, SYNOPSIS GYNECOLOGIC
[10]
A phase II trial of anastrozole in advanced recurrent or persistent endometrial carcinoma: A gynecologic oncology group study [J].
Rose, PG ;
Brunetto, VL ;
VanLe, L ;
Bell, J ;
Walker, JL ;
Lee, RB .
GYNECOLOGIC ONCOLOGY, 2000, 78 (02) :212-216