Treatment FAQ

what is the treatment for estrogen positive breast cancer

by Elsa Kuhic Published 3 years ago Updated 2 years ago
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AIs, tamoxifen, and fulvestrant can be used to treat more advanced hormone-positive breast cancers, especially in post-menopausal women. They are often continued for as long as they are helpful. Pre-menopausal women might be offered tamoxifen alone or an AI in combination with an LHRH agonist for advanced disease.Oct 27, 2021

Full Answer

Is it safe to take estrogen after breast cancer?

You can work with your doctor to figure out which method best suits your needs. You may be wondering why this form of estrogen could be considered OK for you, since women with breast cancer are cautioned against using estrogen in the form of hormone replacement therapy (HRT). (Visit Hormone Replacement Therapy for more information.) Vaginal estrogen is a local treatment; some estrogen does get into the bloodstream, but the amount appears to be lower than it is with HRT.

How does estrogen help breast cancer?

  • a lump in the breast or armpit,
  • bloody nipple discharge,
  • inverted nipple,
  • orange-peel texture or dimpling of the breast's skin (peau d'orange),
  • breast pain or sore nipple,
  • swollen lymph nodes in the neck or armpit, and
  • a change in the size or shape of the breast or nipple.

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How effective is hormone therapy for breast cancer?

Hormone therapy is very effective for breast cancer that’s estrogen or progesterone receptor positive. 5. Researchers have found that five years of adjuvant (post-surgery) tamoxifen reduced mortality from breast cancer in those with estrogen receptor positive breast cancer by 31%. 6. Aromatase inhibitors have also been found to reduce ...

Does estrogen increase risk of breast cancer?

Women have different sources (and different levels) of estrogen before and after menopause. So, it’s important to look at studies of estrogen and breast cancer risk by menopausal status. Studies show higher blood levels of the estrogen called estradiol is linked to an increased risk of breast cancer in postmenopausal women.

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Can estrogen positive breast cancer be cured?

ER-positive breast cancer has a high chance of being successfully treated, especially when it's discovered early. A diagnosis at a later stage will have a less positive outlook, but being diagnosed at a later stage is less common. There are still many treatment options for late stage cancer.

What causes estrogen receptor positive breast cancer?

Breast cancer cells taken out during a biopsy or surgery will be tested to see if they have certain proteins that are estrogen or progesterone receptors. When the hormones estrogen and progesterone attach to these receptors, they stimulate the cancer to grow.

Where does estrogen positive breast cancer spread?

Breast cancers commonly spread to lymph nodes (LNs). If the primary tumors are estrogen receptor (ER) and/or progesterone receptor (PR) positive, then the likelihood that LN metastases express receptors exceeds 80%.

Is it better to have estrogen positive or negative breast cancer?

The survival rate for breast cancers are excellent if the cancer is detected early, and in general HR positive cancers grow slower and have a better prognosis. Overall, breast cancers that are both HR positive and HER2 negative have the best outcomes.

What foods to avoid if you have estrogen positive breast cancer?

What foods to avoid if you have estrogen-positive breast cancer?Deep-fried foods.Margarine.Non-dairy creamers.Packaged cookies and crackers.Cake mixes.Pies.Pastries.Processed snacks.

What are the chances of estrogen positive breast cancer coming back?

The risk for recurrence of ER-positive breast cancers persists for a prolonged period, with approximately 50% of recurrences occurring 5 years after initial diagnosis. Results of several randomized trials suggest that extending adjuvant endocrine treatment beyond 5 years can improve disease-free survival (DFS).

Is estrogen positive breast cancer aggressive?

The estrogen activation of ER in ER-positive breast cancers enhances their aggressiveness, while the activation of exogenously introduced ERs into aggressive ER-negative cells diminishes their aggressiveness.

What is the deadliest form of breast cancer?

Triple-negative breast cancer (TNBC) is considered an aggressive cancer because it grows quickly, is more likely to have spread at the time it's found, and is more likely to come back after treatment than other types of breast cancer.

What is the best breast cancer to have?

Rare types of invasive ductal carcinoma It occurs when cancer cells within the milk duct of the breast produce mucous, which also contains breast cancer cells. The cells and mucous combine to form a tumor. Pure mucinous ductal carcinoma tends to grow slowly, and has a better prognosis than some other types of IDCs.

What type breast cancer has the highest recurrence rate?

Research suggests that estrogen receptor-positive breast cancer is more likely to come back more than five years after diagnosis. In this study, the researchers looked at the risk of late breast cancer recurrence, meaning the breast cancer came back 10 or more years after diagnosis.

Does estrogen cause cancer to grow?

Estrogen plays a vital role in sexual development and reproductive health. But estrogen is also a carcinogen, which means it has the potential to cause cancer. In estrogen-dependent cancer, estrogen fuels cancer's growth.

Is HER2-negative a good thing?

In normal cells, HER2 helps control cell growth. Cancer cells that are HER2 negative may grow more slowly and are less likely to recur (come back) or spread to other parts of the body than cancer cells that have a large amount of HER2 on their surface.

What is the main indicator of potential responses to endocrine therapy (ET), and approximately 70% of breast cancers

Abstract. Estrogen receptor (ER) expression is the main indicator of potential responses to endocrine therapy (ET), and approximately 70% of human breast cancers (BCs) are hormone-dependent and ER-positive.

Is tamoxifen good for ER+?

In patients with ER+ tumors pharmacologic ovary suppression with gonadotropin-releasing hormone agonists in combination with standard adjuvant therapy is generally more effective than adjuvant chemotherapy alone. Tamoxifen is the best established SERM, has favorable effects on BC control and bone metabolism, but also has adverse effects due ...

What is the best treatment for breast cancer?

Surgery. A lumpectomy or mastectomy is typically recommended to remove the tumor in early-stage breast cancer. Radiation therapy may also be recommended either before (neoadjuvant) or after (adjuvant) surgery. Chemotherapy is not usually necessary for cancers at this stage.

What is the treatment for metastatic breast cancer?

With metastatic breast cancer, systemic therapies to control the disease are usually the goal of treatment. Surgery and radiation therapy are considered local therapies and are mainly used only for palliative purposes (to reduce pain and/or prevent fractures). 7 

How long does it take for HER2 to come back?

Chemotherapy may also be used for several months. If a tumor has already been treated with Herceptin (trastuzumab) as adjuvant therapy and the disease comes back within six months ...

What is the role of HER2 in breast cancer?

When the mutation is present, the overproduction of HER2 proteins drives the growth of breast cancer cells.

What is adjuvant therapy for cancer?

Adjuvant therapy is usually recommended for large tumors and those with positive lymph nodes (stage II) as well as for tumors that are growing into surrounding tissue and spreading to lymph nodes (stage III). 6 . Metastatic cancer (stage IV) has specific treatment protocols and does not always involve surgery. 7 .

How long does it take to get rid of a tumor after a mastectomy?

Depending on the cancer stage, tumor size, lymph node involvement, and results of genetic testing, adjuvant chemotherapy may be recommended. Treatment typically begins one month after a lumpectomy or mastectomy and continues for around four to six months. 10 

What percentage of breast cancer cases are positive for a mutation?

It's believed that around 20-25% of newly diagnosed cases of breast cancers are positive for a genetic mutation that causes HER2 gene amplification. 3  The mutation causes the gene to produce too many HER2/neu proteins (or just HER2 proteins).

How does estrogen help with breast cancer?

Because estrogen encourages hormone receptor-positive breast cancers to grow, lowering the estrogen level can help slow the cancer’s growth or help prevent it from coming back.

What hormones are used to treat breast cancer?

Hormone Therapy for Breast Cancer. Some types of breast cancer are affected by hormones, like estrogen and progesterone. The breast cancer cells have receptors (proteins) that attach to estrogen and progesterone, which helps them grow. Treatments that stop these hormones from attaching to these receptors are called hormone or endocrine therapy.

How long does hormone therapy last after surgery?

Sometimes it is started before surgery (as neoadjuvant therapy). It is usually taken for at least 5 to 10 years.

Does tamoxifen help with ductal carcinoma?

For women who have been treated with breast-conserving surgery for ductal carcinoma in situ (DCIS) that is hormone receptor-positive, taking tamoxifen for 5 years lowers the chance of the DCIS coming back. It also lowers the chance of getting an invasive breast cancer in both breasts.

Can tamoxifen be used for menopause?

It can be used to treat women with breast cancer who have or have not gone through menopause. Tamoxifen can be used in several ways: In women at high risk of breast cancer, tamoxifen can be used to help lower the risk of developing breast cancer.

Is Fulvestrant used for breast cancer?

Fulvestrant is given: Alone to treat advanced breast cancer that has not been treated with other hormone therapy.

Is breast cancer a receptor?

About 2 out of 3 breast cancers are hormone receptor-positive. Their cells have receptors (proteins) for the hormones estrogen (ER-positive cancers) and/or progesterone (PR-positive cancers) which help the cancer cells grow and spread. There are several types of hormone therapy for breast cancer. Most types of hormone therapy ...

How long does it take for estrogen to work after breast cancer surgery?

One day you’ll get the treatment, and then you’ll wait 14 or 21 days for the next treatment. This gives your body a chance to recover from the side effects. As an adjuvant therapy, expect to start within 4 to 6 weeks of surgery. Endocrine therapy. More than half of breast cancers feed on estrogen to grow.

How to treat HER2 positive breast cancer?

Treatment for early-stage HER2-positive breast cancer will likely include some combination of surgery, targeted therapy, chemotherapy, and possibly other therapies. What’s right for you will depend on your wants and needs. There are three typical treatment strategies:

What is the treatment for HER2?

Trastuzumab and hyaluronidase (Herceptin Hylecta) is another type of trastuzumab treatment that is injected underneath the skin. Pertuzumab (Perjeta) treats HER2-positive early breast cancer, usually in combination with trastuzumab and chemotherapy. It’s FDA-approved for neoadjuvant and adjuvant treatment.

How long after chemo can you take Herceptin?

Hormone-driven. If your cancer is hormone receptor-positive, your doctor may also offer you endocrine therapy. It’s a daily pill taken for at least 5 years after you finish chemo. Targeted Therapy: Herceptin.

Can breast cancer grow without estrogen?

More than half of breast cancers feed on estrogen to grow. (The other half can grow without it.) If your cancer is estrogen-dependent, endocrine therapy can cut off or limit the cancer cells’ estrogen “food supply.”. Radiation therapy. A beam of high-energy X-rays can slow or stop cancer cell growth.

Is HER2+ a shock?

Other Treatments. More. An early-stage HER2- positive (HER2+) breast cancer is always a shock, but today’s treatment options should give you hope. Over the past 2 decades, advances in medicine have brought us new, effective therapies. About one in five people with breast cancer have the HER2+ subtype. If your breast cancer is of the HER2+ subtype, ...

Is HER2+ a neoadjuvant?

It’s FDA-approved for neoadjuvant and adjuvant treatment. Neoadjuvant use: For people with HER2+ breast cancer that is locally advanced, inflammatory, or early-stage. Adjuvant use: For people with HER2+ early breast cancer that’s highly likely to come back.

What is the best treatment for ER positive breast cancer?

Hormone therapy is also a treatment option for ER-positive breast cancer that has come back in the breast, chest wall, or nearby lymph nodes after treatment (also called a locoregional recurrence). Two SERMs, tamoxifen and toremifene, are approved to treat metastatic breast cancer.

How to treat hormone sensitive breast cancer?

Several strategies are used to treat hormone-sensitive breast cancer: Blocking ovarian function: Because the ovaries are the main source of estrogen in premenopausal women, estrogen levels in these women can be reduced by eliminating or suppressing ovarian function. Blocking ovarian function is called ovarian ablation.

What is a breast tumor that has estrogen and/or progesterone receptors called?

Breast tumors that contain estrogen and/or progesterone receptors are sometimes called hormone receptor positive (HR positive). Most ER-positive breast cancers are also PR positive. Breast cancers that lack ERs are called ER negative, and if they lack both ER and PR they may be called HR negative. Approximately 67%–80% of breast cancers in women ...

What type of cancer is adjuvant hormone therapy?

Decisions about the type and duration of adjuvant hormone therapy are complicated and must be made on an individual basis in consultation with an oncologist. Treatment of advanced or metastatic breast cancer: Several types of hormone therapy are approved to treat metastatic or recurrent hormone-sensitive breast cancer.

Which hormone is released by the hypothalamus during premenopausal women?

The hypothalamus releases LHRH, which then causes the pituitary gland to make and secrete LH and follicle-stimulating hormone (FSH).

How does hormone therapy work?

Hormone therapy (also called hormonal therapy, hormone treatment, or endocrine therapy) slows or stops the growth of hormone-sensitive tumors by blocking the body’s ability to produce hormones or by interfering with effects of hormones on breast cancer cells. Tumors that are hormone insensitive do not have hormone receptors ...

How do you know if breast cancer cells contain hormone receptors?

To determine whether breast cancer cells contain hormone receptors, doctors test samples of tumor tissue that have been removed by surgery.

What is the goal of estrogen therapy for breast cancer?

Like a lock and key effect, the breast tumor cells are stimulated by estrogen to grow and reproduce. Therefore, one of the main goals of therapy or intervention with hormone-positive cancer is to reduce hormonal stimulation as much as possible.

What is the best supplement for breast health?

The botanical breast health supplement BreastDefend contains DIM, and has been shown in multiple studies to strategically support breast health.

What is the primary factor that determines the type of breast cancer?

One of the primary factors in determining the type of breast cancer is the sensitivity of the tumor cells to estrogen. If a breast tumor is hormone-sensitive or estrogen receptor-positive, it means there are specific estrogen receptors on the tumor cells, and when estrogen binds with these receptors, it transfers a message to the cancer cells.

What are phytoestrogens?

Phytoestrogens are compounds that have a mild estrogenic effect and are found in whole grains, nuts and seeds, and many other botanicals, fruits and vegetables. These foods are associated with a reduced risk of breast cancer as well as reduced cancer reoccurrence.

What are the most common metals that stimulate estrogen receptors?

Minimize exposure to heavy metals. Heavy metals including copper, cobalt, arsenic, cadmium, mercury and lead have been found to stimulate estrogen receptors. Sources of arsenic include some brands of rice, seafood, well water; cadmium is high in cigarettes and can be found in some soils; mercury is mainly prevalent in larger fish ...

What is the primary source of estrogen in the body?

After menopause, fat is the primary source of estrogen production in the body. This means that weight is a critical factor in determining estrogen levels, for both pre and post-menopausal women. Dietary choices and activities that promote a healthy weight are essential to any estrogen-reducing program.

Does fiber help with estrogen?

These are metabolites of the parent estrogen; too much of the 16 AHE is highly stimulatory. A high fiber diet promotes the binding of estrogens in the colon, thus reducing estrogen exposure. Fiber also promotes healthy bacterial populations and enhances satiety, helping to keep weight in a healthy range.

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