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Hormonal therapies and gynaecological cancers.

Abstract
Hormonal therapy has an established place in the management of women with gynaecological malignancies, including first-line therapy for recurrent receptor-positive endometrial cancer and low-grade stromal sarcoma. There is no place for adjuvant hormonal treatment of these cancers after primary surgery. Primary treatment with either oral or intra-uterine progestagens to preserve fertility in younger women with endometrial carcinoma is effective in about 70% of cases. Response rates to tamoxifen in advanced/recurrent ovarian cancers approximates 10%. To the authors' knowledge, no studies that reasonably compare different progestagens, different routes of therapy, different doses and different hormonal preparations have been published.
AuthorsAndrea Garrett, Michael A Quinn
JournalBest practice & research. Clinical obstetrics & gynaecology (Best Pract Res Clin Obstet Gynaecol) Vol. 22 Issue 2 Pg. 407-21 (Apr 2008) ISSN: 1521-6934 [Print] England
PMID17884734 (Publication Type: Journal Article, Review)
Chemical References
  • Antineoplastic Agents, Hormonal
  • Aromatase Inhibitors
  • Progestins
  • Tamoxifen
Topics
  • Antineoplastic Agents, Hormonal (therapeutic use)
  • Aromatase Inhibitors (therapeutic use)
  • Endometrial Neoplasms (drug therapy)
  • Estrogen Replacement Therapy
  • Female
  • Genital Neoplasms, Female (drug therapy)
  • Humans
  • Ovarian Neoplasms (drug therapy)
  • Progestins (therapeutic use)
  • Sarcoma, Endometrial Stromal (drug therapy)
  • Tamoxifen (therapeutic use)

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