Reference : Management of cancer treatment-induced bone loss in early breast and prostate cancer ...
Scientific journals : Article
Human health sciences : General & internal medicine
http://hdl.handle.net/2268/20502
Management of cancer treatment-induced bone loss in early breast and prostate cancer -- a consensus paper of the Belgian Bone Club.
English
Body, Jean-Jacques [> > > >]
Bergmann, P. [> > > >]
Boonen, S. [> > > >]
Boutsen, Y. [> > > >]
Devogelaer, Jean-Pierre [> > > >]
Goemaere, S. [> > > >]
Reginster, Jean-Yves mailto [Université de Liège - ULg > Département des sciences de la santé publique > Epidémiologie et santé publique >]
Rozenberg, S. [> > > >]
Kaufman, J. M. [> > > >]
2007
Osteoporosis International
Springer Science & Business Media B.V.
18
11
1439-50
Yes (verified by ORBi)
International
0937-941X
1433-2965
Godalming
United Kingdom
[en] Adult ; Aged ; Animals ; Antineoplastic Agents/adverse effects ; Aromatase Inhibitors/adverse effects ; Bone Density Conservation Agents/therapeutic use ; Breast Neoplasms/drug therapy ; Chemotherapy, Adjuvant/adverse effects ; Female ; Humans ; Male ; Middle Aged ; Osteoporosis/chemically induced/diagnosis/therapy ; Postmenopause ; Premenopause ; Prostatic Neoplasms/drug therapy
[en] Cancer treatment-induced bone loss (CTIBL) is one of the most important side effects of adjuvant antineoplastic treatment in hormone-dependent neoplasms. Chemotherapy, GnRH analogs and tamoxifen can induce marked bone loss in premenopausal women with early breast cancer. Aromatase inhibitors (AIs) are replacing tamoxifen as the preferred treatment for postmenopausal women. As a class effect, steroidal (exemestane) and non-steroidal (anastrozole and letrozole) AIs increase bone turnover and cause bone loss (4%-5% over 2 years). When compared to tamoxifen, the risk of getting a clinical fracture under AI treatment is increased by 35%-50%. In patients with prostate cancer, androgen deprivation therapy (ADT) increases bone turnover, reduces bone mass (4%-5% per year) and increases the fracture rate depending on the duration of therapy. Zoledronic acid can prevent accelerated bone loss induced by goserelin in premenopausal women, by letrozole in postmenopausal women and by ADT in men. More limited data indicate that weekly alendronate or risedronate could also be effective for preventing CTIBL. Initiation of therapy early, prior to the occurrence of severe osteoporosis, rather than after, may be more effective. Bisphosphonate treatment should be considered in osteoporotic but also in osteopenic patients if other risk factor(s) for fractures are present.
http://hdl.handle.net/2268/20502
10.1007/s00198-007-0439-4

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