Special considerations in breast cancer risk and survival

Lisa A. Newman, Henry M. Kuerer, Theresa Harper, Kelly K. Hunt, Christine Laronga, Tara M Breslin, S. Eva Singletary*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Experimental and clinical evidence suggests that breast neoplasia appears to be a hormone-dependent process that may also be influenced by dietary factors in many women. Conflicting reports on the relationship between exogenous hormones and the development, progression, and recurrence of breast cancer are critically examined in this report. The absolute breast cancer risk associated with either hormone replacement therapy or oral contraceptive use has not been clearly defined. Data from some large prospective studies have actually documented lower mortality rates for women taking hormone replacement compared with those for women who did not have hormone replacement therapy. In this regard, age, duration of use, and preexisting breast cancer risk factors must be taken into account. Although the results of two major prospective clinical trials addressing the role of timing of surgery within the menstrual cycle are forthcoming, the majority of studies have found no consistent association between timing of surgery and breast cancer survival. Recently reported prospective randomized data showing that selective-estrogen-receptor-modulators can act as effective chemoprevention agents in women at increased risk for breast cancer development are presented. Finally, information regarding the effect of dietary manipulation on breast cancer risk and survival is reviewed.

Original languageEnglish (US)
Pages (from-to)250-260
Number of pages11
JournalJournal of Surgical Oncology
Issue number4
StatePublished - Aug 25 1999


  • Estrogen
  • Hormone replacement therapy
  • Timing of breast cancer surgery

ASJC Scopus subject areas

  • Surgery
  • Oncology


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