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The effect of transdermal testosterone on mammographic density in postmenopausal women not receiving hormone therapy

In the article published by Susan Davis and colleagues in the [i]Journal of Clinical Endocrinology & Metabolism[/i] of December 2009, the authors compared the effects of two doses of the testosterone transdermal patch (TTP) with placebo on mammographic density in postmenopausal women without concomitant estrogen/progestin therapy (EPT) over a period of 52 weeks [1].  … Read More

Rethinking the impact of breast and prostate cancer screening. Part 2: The comment

[i]Note: the first part of this Commentary, The evidence, was issued on January 4, 2010.[/i] Author(s) Anne Gompel Unité de Gynécologie-Endocrinienne, APHP, Hôtel-Dieu Hospital and University Paris Descartes, France Citations Jørgensen KJ, Gøtzsche PC. Overdiagnosis in publicly organised mammography screening programmes: systematic review of incidence trends. BMJ 2009;339:b2587. doi: 10.1136/bmj.b2587. Published July 9, 2009. http://www.ncbi.nlm.nih.gov/pubmed/19589821… Read More

Estrogen metabolites and breast cancer

It has been proposed that a shift toward 2-hydroxyestrone (2-OHE1) from the 16α-hydroxyestrone (16-OHE1) metabolic pathway may be inversely associated with breast cancer risk because 2-OHE1 is thought to be less genotoxic and estrogenic than 16-OHE1. In the recently published study of Arslan and colleagues [1], serum levels and the ratio of the estradiol metabolites… Read More

Doctor, am I cured?

In modern times, with the best medical care, most breast cancer patients survive the first years after diagnosis and look forward in anticipation that they are cured. Certainly, as time goes on without any signs of recurrence, the chance of winning this battle becomes higher. However, can we really talk about cure from breast cancer?… Read More

Updated definition for metabolic syndrome

The metabolic syndrome is a complex of risk factors for cardiovascular disease and diabetes mellitus which are inter-related and cluster together more often than by chance. The five main risk factors include glucose abnormalities, dyslipidemia with low levels of high density lipoprotein (HDL) cholesterol or raised triglycerides, central obesity, and raised blood pressure. Insulin resistance… Read More

New-onset breast tenderness is not a useful predictor of breast cancer

A recent paper by Crandall and colleagues, based on data from the Women’s Health Initiative (WHI) clinical trial, reported that ‘new-onset breast tenderness during conjugated equine estrogens plus medroxyprogesterone therapy was associated with increased breast cancer risk’ [1]. The authors assert that new-onset breast tenderness (NOBT) is a useful predictor of breast cancer and caution… Read More

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