Breast Cancer Patients Should Stay On Drugs For 10 Years To Cut Chance Of Disease Returning, Experts Urge

'It will have an enormous impact.'

'Tens of thousands' of women could benefit from taking breast cancer drugs for a decade, rather than the current standard of five years, research suggests. 

The study, led by a team at Harvard Medical School, found that women who received aromatase inhibitors (AIs) for 10 years rather than five were a third less likely to have their cancer return or develop cancer in their other breast.

AIs work by reducing the amount of oestrogen in the body and therefore reduce the chance of cancer returning. They are the main type of hormonal therapy given to women who have been through the menopause.

The study authors have said 40,000 women in the UK with hormone-receptor-positive breast cancer could benefit from the findings. 

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Holly Anissa Photography via Getty Images

Almost 2,000 post-menopausal women with early-stage breast cancer took part in the study.

They were split into two groups, with half receiving five years of AIs and the other half receiving 10 years of the treatment.

The study authors noted that while women in the 10-year group had a lower rate of breast cancer returning, there was no overall difference between the groups in how long women lived.

Lead researcher Paul Goss, professor of medicine at Harvard Medical School, said current practice - which is to give women AIs for five years - should now change so that the drugs are prescribed for double the amount of time.

“AIs are now readily available around the world and therefore our results will further improve the outcome of women with breast cancer globally," he said, according to PA.

“It will help tens of thousands of women. It will have an enormous impact.”

“A reduction in recurrences is a very important finding. We have shown that AIs given in a different way than is traditional will remarkably reduce fatal recurrences and recurrences in general and should therefore become the standard practice.”

Harold Burstein, associate professor at the Dana Farber Cancer Institute at Harvard University and a spokesman for Asco, said women with higher risk breast cancer - equating to about 20,000 women in the UK - would benefit the most from the switch.

He said the findings were important, adding: “Nobody wants to have a recurrence.

"In general, I would think that women who had riskier cancers, higher stage ... would look to these data and think they are compelling for continuing longer durations of treatment."

However, he pointed out that some of the side-effects of AIs include hot flushes and sweats, nausea, low libido and nausea. Women on AIs are also thought to be at higher risk of bone fractures.

Baroness Delyth Morgan, chief executive of Breast Cancer Now, called for further research on survival and quality of life, adding: "This a really important study that could one day have a major impact on how we use anti-hormone breast cancer treatments."

The research is published in full in the New England Journal of Medicine.

Breast Cancer Signs And Treatment
What Are The Symptoms?(01 of10)
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"A new painless, firm breast lump with irregular margins is a potential symptom of breast cancer," says Dr. Sandhya Pruthi, a breast cancer researcher at the Mayo Clinic. "The cancer diagnosis is confirmed following a biopsy of the lump." She notes that usually, women who are newly diagnosed with breast cancer are healthy and don't feel sick at all. (credit:LarsZahnerPhotography via Getty Images)
Other Symptoms(02 of10)
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Another potential symptom/sign of breast cancer, Pruthi notes, is a new onset of persistent redness on the skin overtop the breast with an orange peel appearance. This would also need a biopsy to confirm a diagnosis of breast cancer. (credit:Image Source via Getty Images)
Metastatic Cancer Symptoms(03 of10)
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"If the cancer is very advanced (metastatic) then the symptoms may also include weight loss, bone pain, headaches, nausea and persistent cough," Pruthi says. (credit:pamela burley via Getty Images)
What Are The Risk Factors?(04 of10)
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Some commonly associated risk factors, Pruthi says, are menstruation before age 11, menstruation after age 54, a first pregnancy after age 35 and a family history of relatives diagnosed with breast or ovarian cancer. (credit:AP Photo/M. Spencer Green)
Are There Any Lifestyle Risk Factors?(05 of10)
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"There is evidence in the literature that obesity after menopause, lack of regular exercise, consuming greater than more or more alcoholic beverages daily, and a high fat diet can all be associated with a higher breast cancer risk," Pruthi notes. But, she points out, "women need to know that any woman can get breast cancer even in the absence of any of these risk factors." (credit:Adrian Samson via Getty Images)
Can I Eat Anything To Prevent It?(06 of10)
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There are no specific types of diets, Pruthi says, but rather women are encouraged to eat fruits, vegetables, fibre, and minimize their alcohol and fat intake, as well as get regular exercise. (credit:lola1960 via Getty Images)
How Do Doctors Determine Treatment?(07 of10)
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"The most current treatment of breast cancer has taken on a individualized approach and is dependent on the biology or aggressive features of the breast cancer," Pruthi explains. "Breast cancer is a heterogeneous disease and this means that are many sub-types and different degrees of aggressiveness. So staging, which typically takes into account common prognostic features such as tumour size and if lymph nodes are involved, are no longer the only factors doctors use to determine treatment options." (credit:Christopher Futcher via Getty Images)
So What Do They Look At?(08 of10)
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"Today the biology of the tumour is also characterized by molecular markers (also known as predictive markers) such as if the estrogen or progesterone receptor is positive or negative and if the HER 2 protein is positive or negative," she says. "This helps decide who will benefit from a specific chemotherapy regimen, hormonal medications known as antiestrogens or who may need both chemotherapy and hormonal treatment." (credit:BluePlanetEarth via Getty Images)
What About Preventative Mastectomies?(09 of10)
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"Preventive mastectomy is an option for women at very high risk for developing breast cancer because they are BRCA 1 or 2 gene positive or if someone has hereditary predisposition to getting breast cancer but chooses not to have the genetic testing done," Pruthi says. "It is prudent that women who are considering this surgery know their family history in detail. Based on the moderate or strong family history, your doctor would recommend you meet with a genetic counselor to go over the family pedigree and help decide who should test for the breast cancer gene, when to test and how to interpret the genetic test results before proceeding with this preventive surgery." (credit:Jesús Jaime Mota via Getty Images)
Are Other Preventative Treatments Available?(10 of10)
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"High risk women who have had precancerous breast biopsies or strong family history may also be eligible to take preventive medications such as tamoxifen, raloxifene or exemestane to reduce breast cancer risk," Pruthi adds. (credit:art-4-art via Getty Images)

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