1. Hormone Therapy and Breast Cancer: a literature review about the influence of hormonal treatment on neoplastic development
- Author
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Martins, Sara Custódio, Araújo, Maísa Aparecida Marques, Moura, Joana Paula Mendes, Costa, Anna Carolina Motta, Martins, Júlia Souza Rosa, and Pinheiro, Marcella Barbosa Sampaio Tropia
- Subjects
climacteric ,menopause ,breast neoplasms ,estrogen replacement therapy ,hormone replacement therapy ,Medicine (General) ,R5-920 - Abstract
Menopause is due to the gradual drop in ovarian hormonal secretion, and, during this period, many women have symptoms that compromise quality of life. Hormone therapy (HT) has emerged as an important tool to alleviate climacteric symptoms. However, suspicions were raised about the correlation between treatment and the increased risk of breast cancer (BC). The present study aims to evaluate the relationship between BC and HT, covering the implications of therapy for menopausal symptoms, the incidence of neoplasia and mortality. This is a narrative review of the literature, in which articles published between July 2010 and July 2020 were searched for in the LILACS, MEDLINE and SciELO databases. The main types of HT are estrogen alone and combined formula with progesterone. In the studies analyzed, combined therapy was related to a higher incidence of BC when compared to the estrogenic regimen. According to the literature, changes in mammographic density, induced by HT, can increase the risk for breast carcinoma. The articles reported that factors other than hormone therapy, such as lifestyle, can interfere with the incidence of BC and should be analyzed individually. Mortality from BC influenced by HT did not show a significant increase. Overall, HT was considered to be the most effective treatment for relieving climacteric symptoms. Although, long-term studies that analyze the risks and reliability of therapy should be encouraged in order to indicate the safest therapeutics and to avoid unnecessary interventions.
- Published
- 2021
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