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Review Article
Primary Care
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Volume 343:191-198 July 20, 2000 Number 3
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Reducing the Risk of Breast Cancer
Rowan T. Chlebowski, M.D., Ph.D.

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Recent research results suggest that the risk of breast cancer can be reduced. In this review I will focus on chemoprevention, emphasizing evidence from randomized clinical trials, and in addition summarize the evidence regarding preventive strategies involving surgery and lifestyle changes (Table 1).

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Table 1. Potential Strategies for Reducing the Risk of Breast Cancer.

 
Chemoprevention

Tamoxifen and Risk Reduction

The risk of breast cancer is related to levels of endogenous1,2 and exogenous3,4,5 hormones. Tamoxifen and raloxifene, which are selective estrogen-receptor modulators, can be used to test the hypothesis that the risk of breast cancer can be reduced by estrogen antagonists.6

Tamoxifen is active against advanced . . . [Full Text of this Article]

Side Effects of Tamoxifen

Raloxifene and Risk Reduction

Side Effects of Raloxifene

Fenretinide and Risk Reduction

Prophylactic Surgery

Bilateral Mastectomy

Bilateral Oophorectomy

Future Approaches

Lifestyle and Risk Reduction

Environmental Factors

Conclusions


Source Information

From the Harbor–UCLA Research and Education Institute, Torrance, Calif.

Address reprint requests to Dr. Chlebowski at Harbor–UCLA Medical Center, 1124 W. Carson St., Bldg. J-3, Torrance, CA 90502, or at rchlebow@whi.org.

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