Spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer

Marta Venturelli,1 Giorgia Guaitoli,1 Claudia Omarini,1 Luca Moscetti2 1Division of Medical Oncology, Department of Medical and Surgical Sciences for Children & Adults, University Hospital of Modena, Modena, Italy; 2Division of Medical Oncology, Department of Oncology and Hematology, Azienda...

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Autores principales: Venturelli M, Guaitoli G, Omarini C, Moscetti L
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:8bcef3965a734bd6869312ece9f710af2021-12-02T01:17:57ZSpotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer1179-1314https://doaj.org/article/8bcef3965a734bd6869312ece9f710af2018-03-01T00:00:00Zhttps://www.dovepress.com/spotlight-on-triptorelin-in-the-treatment-of-premenopausal-women-with--peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Marta Venturelli,1 Giorgia Guaitoli,1 Claudia Omarini,1 Luca Moscetti2 1Division of Medical Oncology, Department of Medical and Surgical Sciences for Children & Adults, University Hospital of Modena, Modena, Italy; 2Division of Medical Oncology, Department of Oncology and Hematology, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena, Italy Abstract: Endocrine treatment represents the cornerstone of endocrine-sensitive premenopausal early breast cancer. The estrogen blockade plays a leading role in the therapeutic management of hormone receptor-positive breast cancer together with surgery, radiotherapy, and selective antiestrogen treatments. For several years, selective estrogen receptor modulators, such as tamoxifen, have represented the mainstay of therapy. The role of amenorrhea has been extensively elucidated in the past year: the benefit observed with chemotherapy-induced amenorrhea has strengthened its therapeutic role. Luteinizing hormone-releasing hormone (LHRH) has been introduced in oncology practice to induce amenorrhea in order to increase the advantage obtained from endocrine treatment. Triptorelin is one of the most widely used LHRH analogs currently available in clinical practice. It was recently investigated in two major clinical trials that studied the role of complete estrogen blockade in the premenopausal setting. Both showed the clinical benefit due to ovarian suppression treatment, primarily in high-risk patients. Furthermore, triptorelin and other LHRH analogs have recently been investigated in the attempt to preserve the ovarian function in young patients. The medical treatment of early breast cancer is always evolving in the effort to search for safe and efficacious treatments. The role of LHRH analogs is actually well recognized as contributing to the improvement of the medical treatment of premenopausal women with early breast cancer. Keywords: adjuvant, hormone therapy, LHRH, amenorrheaVenturelli MGuaitoli GOmarini CMoscetti LDove Medical Pressarticleadjuvanthormone therapyLHRHamenorrheaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 10, Pp 39-49 (2018)
institution DOAJ
collection DOAJ
language EN
topic adjuvant
hormone therapy
LHRH
amenorrhea
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle adjuvant
hormone therapy
LHRH
amenorrhea
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Venturelli M
Guaitoli G
Omarini C
Moscetti L
Spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer
description Marta Venturelli,1 Giorgia Guaitoli,1 Claudia Omarini,1 Luca Moscetti2 1Division of Medical Oncology, Department of Medical and Surgical Sciences for Children & Adults, University Hospital of Modena, Modena, Italy; 2Division of Medical Oncology, Department of Oncology and Hematology, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena, Italy Abstract: Endocrine treatment represents the cornerstone of endocrine-sensitive premenopausal early breast cancer. The estrogen blockade plays a leading role in the therapeutic management of hormone receptor-positive breast cancer together with surgery, radiotherapy, and selective antiestrogen treatments. For several years, selective estrogen receptor modulators, such as tamoxifen, have represented the mainstay of therapy. The role of amenorrhea has been extensively elucidated in the past year: the benefit observed with chemotherapy-induced amenorrhea has strengthened its therapeutic role. Luteinizing hormone-releasing hormone (LHRH) has been introduced in oncology practice to induce amenorrhea in order to increase the advantage obtained from endocrine treatment. Triptorelin is one of the most widely used LHRH analogs currently available in clinical practice. It was recently investigated in two major clinical trials that studied the role of complete estrogen blockade in the premenopausal setting. Both showed the clinical benefit due to ovarian suppression treatment, primarily in high-risk patients. Furthermore, triptorelin and other LHRH analogs have recently been investigated in the attempt to preserve the ovarian function in young patients. The medical treatment of early breast cancer is always evolving in the effort to search for safe and efficacious treatments. The role of LHRH analogs is actually well recognized as contributing to the improvement of the medical treatment of premenopausal women with early breast cancer. Keywords: adjuvant, hormone therapy, LHRH, amenorrhea
format article
author Venturelli M
Guaitoli G
Omarini C
Moscetti L
author_facet Venturelli M
Guaitoli G
Omarini C
Moscetti L
author_sort Venturelli M
title Spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer
title_short Spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer
title_full Spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer
title_fullStr Spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer
title_full_unstemmed Spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer
title_sort spotlight on triptorelin in the treatment of premenopausal women with early-stage breast cancer
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/8bcef3965a734bd6869312ece9f710af
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AT guaitolig spotlightontriptorelininthetreatmentofpremenopausalwomenwithearlystagebreastcancer
AT omarinic spotlightontriptorelininthetreatmentofpremenopausalwomenwithearlystagebreastcancer
AT moscettil spotlightontriptorelininthetreatmentofpremenopausalwomenwithearlystagebreastcancer
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