Mammary
carcinomas have been induced by 3.5 Gy whole-body gamma radiation administered at age 40 to 50 days to virgin female Sprague-Dawley rats. In 142 irradiated controls
carcinoma incidence averaged 7.8% in survivors observed less than 300 days and 38.3% of those surviving longer (P less than 0.001 by t test).
Mammary cancer promotion was inhibited by two methods:
estriol (E3) 638 micrograms/month (2.2 microns/mo) subcutaneously for natural life span begun 2 weeks after exposure reduced
cancer incidence from 76% in controls to 48% after 331 to 449 mean days observation until
neoplasia was palpable (P less than 0.02 by chi-square analysis). Uterine weights were similar in control and treated groups, and were 15% to 18% greater than uteri of nonirradiated controls from other simultaneous experiments. Six monthly 638-micrograms doses of 17 alpha
ethinyl estriol (EE3) reduced
tumors from 88% in controls to 64% (P less than 0.05 by chi-square analysis) and delayed
cancer onset (P less than 0.01-0.04 by life table analysis).
Ethinyl estradiol (EE2) after 6 months' treatment similarly delayed mammary
tumor development reducing incidence to 75% (NS), with a six-fold increase in nonmammary epithelial malignant
tumors.
Estriol administration begun between 3 days before to 5 days after radiation did not alter
mammary cancer incidence in six experiments. Monthly implantation of 2.5 mg
tamoxifen (4.44 microns/mo) started 2 weeks after radiation reduced
mammary cancer incidence from 83% to 14% after 307 to 314 days' observation (P less than 0.001 by chi-square analysis). Treated rats had atrophic ovaries and uteri consistent with blockade of endogenous
estradiol activity. Short-term parenteral E3 or EE3
therapy using 10 to 30 micrograms/kg/day (35-100 microns/kg/day) rapidly differentiated virgin rat mammary glands without impairment of subsequent estrus cycles and offers an alternative to
castration or life-long
antiestrogen therapy for reduction of risk of radiogenic mammary
carcinoma.