Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative Review

Breast density (BD) is recognized as one of the strongest independent risk factors of breast cancer (BC). Unlike most other risk factors, BD can be modified, suggesting that it may be a biomarker for preventive interventions. We conducted a qualitative systematic review to address the effect of prev...

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Main Authors: Virginie Lienart, Birgit Carly, Xin Kang, Laura Guzy, Anna-Maria Sajovitz, Fabienne Liebens
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/942386
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author Virginie Lienart
Birgit Carly
Xin Kang
Laura Guzy
Anna-Maria Sajovitz
Fabienne Liebens
author_facet Virginie Lienart
Birgit Carly
Xin Kang
Laura Guzy
Anna-Maria Sajovitz
Fabienne Liebens
author_sort Virginie Lienart
collection DOAJ
description Breast density (BD) is recognized as one of the strongest independent risk factors of breast cancer (BC). Unlike most other risk factors, BD can be modified, suggesting that it may be a biomarker for preventive interventions. We conducted a qualitative systematic review to address the effect of preventive hormonal therapy on BD. Among the 26 relevant studies, 10 assessed the effect of tamoxifen on BD (TAM: n=2 877), 9 that of raloxifene (RLX: n=1 544), and 7 that of aromatase inhibitors (AI: n=416). The studies were characterized by a large heterogeneity in designs and in methods of BD measurement. BD could be reduced by TAM (10 studies/10). However, the effect of RLX and AI on BD remains unclear due to conflicting results between studies. Consequently, it is crucial to develop practical, accurate, and reproducible methods of measurement in order to be able to compare the effect of preventive hormonal agents on BD and to determine whether change in BD can be used as a predictor of response to therapy.
format Article
id doaj-art-d18bde3546be4e0fbcd3a519ca4a3d93
institution Kabale University
issn 2356-6140
1537-744X
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-d18bde3546be4e0fbcd3a519ca4a3d932025-02-03T07:25:40ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/942386942386Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative ReviewVirginie Lienart0Birgit Carly1Xin Kang2Laura Guzy3Anna-Maria Sajovitz4Fabienne Liebens5ISALA Breast Unit and Prevention Centre, OB-GYN Department, CHU Saint Pierre, 290 rue Haute, 1000 Brussels, BelgiumISALA Breast Unit and Prevention Centre, OB-GYN Department, CHU Saint Pierre, 290 rue Haute, 1000 Brussels, BelgiumISALA Breast Unit and Prevention Centre, OB-GYN Department, CHU Saint Pierre, 290 rue Haute, 1000 Brussels, BelgiumISALA Breast Unit and Prevention Centre, OB-GYN Department, CHU Saint Pierre, 290 rue Haute, 1000 Brussels, BelgiumISALA Breast Unit and Prevention Centre, OB-GYN Department, CHU Saint Pierre, 290 rue Haute, 1000 Brussels, BelgiumISALA Breast Unit and Prevention Centre, OB-GYN Department, CHU Saint Pierre, 290 rue Haute, 1000 Brussels, BelgiumBreast density (BD) is recognized as one of the strongest independent risk factors of breast cancer (BC). Unlike most other risk factors, BD can be modified, suggesting that it may be a biomarker for preventive interventions. We conducted a qualitative systematic review to address the effect of preventive hormonal therapy on BD. Among the 26 relevant studies, 10 assessed the effect of tamoxifen on BD (TAM: n=2 877), 9 that of raloxifene (RLX: n=1 544), and 7 that of aromatase inhibitors (AI: n=416). The studies were characterized by a large heterogeneity in designs and in methods of BD measurement. BD could be reduced by TAM (10 studies/10). However, the effect of RLX and AI on BD remains unclear due to conflicting results between studies. Consequently, it is crucial to develop practical, accurate, and reproducible methods of measurement in order to be able to compare the effect of preventive hormonal agents on BD and to determine whether change in BD can be used as a predictor of response to therapy.http://dx.doi.org/10.1155/2014/942386
spellingShingle Virginie Lienart
Birgit Carly
Xin Kang
Laura Guzy
Anna-Maria Sajovitz
Fabienne Liebens
Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative Review
The Scientific World Journal
title Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative Review
title_full Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative Review
title_fullStr Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative Review
title_full_unstemmed Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative Review
title_short Effect of Preventive Hormonal Therapy on Breast Density: A Systematic Qualitative Review
title_sort effect of preventive hormonal therapy on breast density a systematic qualitative review
url http://dx.doi.org/10.1155/2014/942386
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