S After Breast Cancer

After breast cancer, what surveillance? : Treatment with Tamoxifen

After different treatments put in place against breast cancer, doctors can then prescribe - for some patients - hormone therapy.
Among these drugs, Tamoxifen is used and reduces the risk of cancer recurrence. Note the arrival of other hormone therapy treatments that today provide better results than tamoxifen. Thus, anastrazole has been shown to be more effective than tamoxifen in case of breast carcinoma in situ, postmenopausal in the under 60s.

ouemo7 : I have just been 51 years old (post-menopausal because of chemotherapy), and I had surgery for breast cancer at the beginning of the year (level 1), followed chemotherapy and radiation sessions.
Still suffering from the side effects of chemotherapy, I am very anxious about taking Tamoxifene, with all the effects that this drug seems to cause. Is it really necessary to take hormones?
Dr. Marc Espié: The side effects of hormone therapy are different from those of chemotherapy. There is, for example, no vomiting and usually no hair loss. Hormone therapy is part of the treatment of hormone-dependent breast cancer, and increases the chances of recovery.
iimonetti: Does hormone therapy (Tamoxifen) systematically make you fat?
Dr. Marc Espié: Officially no. Many women complain, however, in the randomized studies, there is no more weight gain in treated women than in untreated women. With menopause, there is often a change in the distribution of fat, women starting to take belly as men.

iimonetti: Following breast cancer, I have to take tamoxifen. What are the risks of developing uterine cancer?
Dr. Marc Espié: They are very, very weak. It is generally advisable to perform a pelvic ultrasound before starting treatment with Tamoxifen, and consult your gynecologist if under Tamoxifen, blood loss, vaginal haemorrhage. The benefit of Tamoxifen is far greater than the risks.

Health AZ : We leave the last word to Dr. Marc Espié ...
Dr. Marc Espié: I think it is important not to feel responsible for breast cancer, it is not the fault of women, it is the fault of "no luck".
Do not hesitate to consult your gynecologist or your doctor about the slightest abnormality in the breast.


Sources and notes
- Understand breast cancer, SOR, The League Against Cancer, Fnlcc, 2007. Inca. Preventing Breast Cancer, Government Portal, October 2007.
- The symptoms of breast cancer, Inca website, www.e-cancer.fr
- Stéphanie Honoré, Breast Cancer: the announcement, treatment, remission, Éditions du Seuil, 2005.
- Jacques Saglier, The woman and breast cancer, Editions O. Jacob, 2005.

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