Duration of Tamoxifen Effect on Lipidemic Profile of Postmenopausal Breast Cancer Patients following Deprivation of Treatment

Objective: It was the aim of this study to investigate the effect of tamoxifen withdrawal on markers of lipid metabolism in postmenopausal women with breast cancer who completed tamoxifen therapy and received no further treatment. Methods: Lipidemic profile changes were studied in 190 postmenopausal...

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Veröffentlicht in:Oncology 2006-01, Vol.70 (4), p.301-305
Hauptverfasser: Markopoulos, C., Chrissochou, M., Antonopoulou, Z., Xepapadakis, G., Papadiamantis, J., Tzoracoleftherakis, E., Gogas, H.
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container_end_page 305
container_issue 4
container_start_page 301
container_title Oncology
container_volume 70
creator Markopoulos, C.
Chrissochou, M.
Antonopoulou, Z.
Xepapadakis, G.
Papadiamantis, J.
Tzoracoleftherakis, E.
Gogas, H.
description Objective: It was the aim of this study to investigate the effect of tamoxifen withdrawal on markers of lipid metabolism in postmenopausal women with breast cancer who completed tamoxifen therapy and received no further treatment. Methods: Lipidemic profile changes were studied in 190 postmenopausal patients with operable breast cancer, following cessation of 5–7 years of tamoxifen treatment. Assessments of total cholesterol, high-density lipoprotein, low-density lipoprotein and total serum triglycerides were performed at baseline, 6 months and 12 months. Results: By 6 months, both total cholesterol and low-density lipoprotein levels were significantly increased, and total triglyceride levels were significantly reduced compared with baseline values and maintained to 12 months. There was no significant alteration observed for high-density lipoprotein levels over the study period. Conclusion: The beneficial effect of tamoxifen on the lipidemic profile of postmenopausal breast cancer patients seems to be lost in less than 12 months time following cessation of 5–7 years of tamoxifen treatment. A ‘rebound effect’ on the lipidemic parameters should be expected and those patients should be monitored carefully.
doi_str_mv 10.1159/000096251
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Methods: Lipidemic profile changes were studied in 190 postmenopausal patients with operable breast cancer, following cessation of 5–7 years of tamoxifen treatment. Assessments of total cholesterol, high-density lipoprotein, low-density lipoprotein and total serum triglycerides were performed at baseline, 6 months and 12 months. Results: By 6 months, both total cholesterol and low-density lipoprotein levels were significantly increased, and total triglyceride levels were significantly reduced compared with baseline values and maintained to 12 months. There was no significant alteration observed for high-density lipoprotein levels over the study period. Conclusion: The beneficial effect of tamoxifen on the lipidemic profile of postmenopausal breast cancer patients seems to be lost in less than 12 months time following cessation of 5–7 years of tamoxifen treatment. A ‘rebound effect’ on the lipidemic parameters should be expected and those patients should be monitored carefully.</description><identifier>ISSN: 0030-2414</identifier><identifier>EISSN: 1423-0232</identifier><identifier>DOI: 10.1159/000096251</identifier><identifier>PMID: 17047401</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antineoplastic Agents, Hormonal - administration &amp; dosage ; Biological and medical sciences ; Breast cancer ; Breast Neoplasms - blood ; Breast Neoplasms - drug therapy ; Chemotherapy ; Cholesterol ; Clinical Study ; Drug Administration Schedule ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Lipid Metabolism - drug effects ; Lipids ; Lipids - blood ; Mammary gland diseases ; Medical sciences ; Metabolism ; Middle Aged ; Oncology ; Postmenopause ; Tamoxifen - administration &amp; dosage ; Tumors</subject><ispartof>Oncology, 2006-01, Vol.70 (4), p.301-305</ispartof><rights>2006 S. Karger AG, Basel</rights><rights>2006 INIST-CNRS</rights><rights>Copyright (c) 2006 S. Karger AG, Basel.</rights><rights>Copyright (c) 2006 S. 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A ‘rebound effect’ on the lipidemic parameters should be expected and those patients should be monitored carefully.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Agents, Hormonal - administration &amp; dosage</subject><subject>Biological and medical sciences</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - blood</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Chemotherapy</subject><subject>Cholesterol</subject><subject>Clinical Study</subject><subject>Drug Administration Schedule</subject><subject>Female</subject><subject>Gynecology. Andrology. 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Methods: Lipidemic profile changes were studied in 190 postmenopausal patients with operable breast cancer, following cessation of 5–7 years of tamoxifen treatment. Assessments of total cholesterol, high-density lipoprotein, low-density lipoprotein and total serum triglycerides were performed at baseline, 6 months and 12 months. Results: By 6 months, both total cholesterol and low-density lipoprotein levels were significantly increased, and total triglyceride levels were significantly reduced compared with baseline values and maintained to 12 months. There was no significant alteration observed for high-density lipoprotein levels over the study period. Conclusion: The beneficial effect of tamoxifen on the lipidemic profile of postmenopausal breast cancer patients seems to be lost in less than 12 months time following cessation of 5–7 years of tamoxifen treatment. A ‘rebound effect’ on the lipidemic parameters should be expected and those patients should be monitored carefully.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>17047401</pmid><doi>10.1159/000096251</doi><tpages>5</tpages></addata></record>
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ispartof Oncology, 2006-01, Vol.70 (4), p.301-305
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source Karger Journals; MEDLINE
subjects Adult
Aged
Aged, 80 and over
Antineoplastic Agents, Hormonal - administration & dosage
Biological and medical sciences
Breast cancer
Breast Neoplasms - blood
Breast Neoplasms - drug therapy
Chemotherapy
Cholesterol
Clinical Study
Drug Administration Schedule
Female
Gynecology. Andrology. Obstetrics
Humans
Lipid Metabolism - drug effects
Lipids
Lipids - blood
Mammary gland diseases
Medical sciences
Metabolism
Middle Aged
Oncology
Postmenopause
Tamoxifen - administration & dosage
Tumors
title Duration of Tamoxifen Effect on Lipidemic Profile of Postmenopausal Breast Cancer Patients following Deprivation of Treatment
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