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Tamoxifen Has Limits
Women who take tamoxifen
after breast cancer surgery need only do so for
five years to get maximum benefit from the drug, new
research shows. A 15-year study of so-called "adjuvant" tamoxifen
treatment, published in this week's issue of the Journal of the
National Cancer Institute, shows "no additional benefit from
tamoxifen accrues from continuation of the drug beyond five years."
In fact, researchers add, the study suggests women may be more
likely to survive if they take tamoxifen only that long. Tamoxifen
has been around for 25 years as a treatment for invasive breast
cancer, and it's now used to prevent tumors in women at high
risk of the disease. The drug belongs to a family of compounds
called selective estrogen receptor modulators, which mute the
effects of the hormone in breast cancer cells, but leave intact
its desirable impact on bone formation.
Although tamoxifen is
highly effective at reducing the chances breast cancer will return,
doctors are still trying to fine-tune the way they prescribe
it. The drug is known to increase the risk of uterine cancer,
so any long-term strategy has to balance benefits against risks.
Journal of the National Cancer Institute (3/01)
Thanks to HealthScout
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