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Medical Forum / Diseases and Disorders / Breast Cancer / September 2007

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New link between estrogen and breast cancer

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harrish.chandra@gmail.com - 28 Aug 2007 05:12 GMT
The female sex hormone estrogen turns on a gene linked to breast
cancer, according to new research by Brisbane scientists

http://theanalystmagazine.com/pr/23667.htm
Bea Oo - 29 Aug 2007 17:04 GMT
Shows that one hand has no idea what the other is doing in breast cancer
research!  Why do they think so many of us are taking Arimidex?   Maybe
our physicians are not passing on the reports of all their patients who
have estogen positive cancer.   This report is YEARS too late!   I bet
gyns are still giving estrogen to patients and probably missed the
seminar which should have been given to them years ago about the dangers
of estrogen on certain women.  

Ok, so I know not all women are estrogen positive and can end up with
other types of breast cancer but since there ARE women who can be ER+
why are they suddenly now beginning to realize this?    They need to
come up with a test for women to find out if they can be ER+ and if so,
do not give them years of estogen pills like I was given and probably so
many others.  

Bea

'NO FORWARDS OR SPAM, PLEASE"
Tim Jackson - 29 Aug 2007 19:02 GMT
> Shows that one hand has no idea what the other is doing in breast cancer
> research!  Why do they think so many of us are taking Arimidex?   Maybe
[quoted text clipped - 12 lines]
>
> Bea

It has indeed long been known that breast cancer risk is linked to
estrogen levels (eg HRT, obesity and even shift work).  This research is
into the biological mechanism by which this happens.  It is a step
forward in understanding one of the causes of breast cancer, but just
one of many steps needed before any new tests could be introduced to
measure that risk, or drugs to lower it.

Estrogen responsive cancers are entirely another kettle of fish.  There
are not estrogen-positive *women*, there are estrogen-positive cancers.
 These are cancers whose genetic material has mutated to produce
multiple copies of the estrogen receptor.  As normal breast cells
multiply in response to estrogen, ones that over-express the receptor
multiply more rapidly in response to estrogen.  Similarly receptors to
other growth factors (eg HER2) can be over-expressed instead or as well
to promote rapid growth.

There is as far as I know no connection between *estrogen-responsive*
cancers and *estrogen-induced* cancers.  But then no-one yet knows what
induced any individual breast cancer, they only know about general risk
factors across a population.

Tim Jackson
Bea Oo - 29 Aug 2007 19:32 GMT
>There is as far as I know no connection
> between *estrogen-responsive* cancers and
> *estrogen-induced* cancers. But then no-one
> yet knows what induced any individual breast
> cancer, they only know about general risk
> factors across a population.

>Tim Jackson

Thank you Tim.  I have "no" idea what you just said (posted) but I am
sure you are probably right about whatever you are talking about.  Too
bad you can't join some cancer research group and help them understand
what they are doing. As far as I am concerned, they aren't doing it fast
enough and I still think I am right about hormones being dangerous for
"certain" women.

Bea

'NO FORWARDS OR SPAM, PLEASE"
Mary Fisher - 29 Aug 2007 20:05 GMT
> >There is as far as I know no connection
>> between *estrogen-responsive* cancers and
[quoted text clipped - 13 lines]
>
> Bea

CERTAIN hormones ...

Mary
Tim Jackson - 29 Aug 2007 20:52 GMT
>> There is as far as I know no connection
>> between *estrogen-responsive* cancers and
[quoted text clipped - 11 lines]
> enough and I still think I am right about hormones being dangerous for
> "certain" women.

OK, lets try again with shorter words.  Read it slowly.  Skip the
brackets the first time through.

There are two separate and unrelated issues.

1)  Yes, some hormones (specifically estrogen) can cause (or contribute
to the cause of) breast cancer.  These guys are researching into how
that happens.

2)  No, estrogen does not (specifically) cause ER+ cancers.  Estrogen
makes existing ER+ cancers grow faster.  ER+ has nothing to do with this
article.

You can't test women who don't have cancer for being ER+, it is a
property of the cancer, not of the woman.  (No-one has shown that women
with high estrogen are at more risk of their cancer being ER+.)

The researchers are not announcing either of the links between estrogen
and cancer.  They are announcing the discovery of a gene involved in the
way estrogen causes cancer.  The ultimate result of this research might
be a test which would allow women who were at high risk of a cancer
being caused by estrogen to be treated (eg with Tamoxifen) *before* they
got cancer.  It might also lead to the invention of a new drug to lower
their risk without the side effects of Arimidex or Tamoxifen.

I am sure the researchers perfectly well understand what they are doing
and why.  However I am not sure that the reporter does.

Tim
Bea Oo - 29 Aug 2007 21:53 GMT
>OK, lets try again with shorter words. Read it
> slowly. Skip the brackets the first time
through.

Thank you so much, Tim.  The "shorter" words did help and so did getting
my glasses.  I like to drink while reading.  I think I understand what
the other post was about now.  I do love your "Education for the
disfunctional " explanations.  <g   Have a nice day.

Bea

'NO FORWARDS OR SPAM, PLEASE"
Eva - 30 Aug 2007 02:45 GMT
> ....No, estrogen does not (specifically) cause ER+ cancers.  Estrogen
> makes existing ER+ cancers grow faster.  ER+ has nothing to do with this
> article.....
---------------
Wow, this is news to me.  I always assumed that if estrogen caused your
cancer, it would be an ER+ cancer.

This is relevant to me because I was using an estrogen cream (to alleviate
"dryness") at the time I got BC.  I have always wondered whether the cream
triggered the cancer, and I have always figured that it *couldn't* have,
because my cancer was strongly HER2+ and only *weakly* ER+.  So now you're
saying the *kind* of cancer has nothing to do with whether estrogen caused
it?

IOW, that that accursed cream probably *did* cause my cancer?

Eva
Tim Jackson - 30 Aug 2007 09:45 GMT
>> ....No, estrogen does not (specifically) cause ER+ cancers.  Estrogen
>> makes existing ER+ cancers grow faster.  ER+ has nothing to do with this
[quoted text clipped - 13 lines]
>
> Eva

That's what I am saying, yes.

As I say, I am not aware of any connection, or of any mechanism for a
connection.  Mutation and multiplication are very different activities.
 Of course the fact that I don't know doesn't mean it isn't there, but
I think such a link would have shown up if it were significant.

BUT we need to be a bit careful about ascribing absolute *cause*.  This
is a 'slot-machine' disease, and something that gave you a duck on the
right hand reel didn't of itself cause you to hit the jackpot.

Lets just say that the cream may have contributed, and that we don't
know by how much.

Tim
Tim Jackson - 19 Sep 2007 17:59 GMT
>>> ....No, estrogen does not (specifically) cause ER+ cancers.  Estrogen
>>> makes existing ER+ cancers grow faster.  ER+ has nothing to do with this
>>> article.....
>> ---------------
>> Wow, this is news to me.  I always assumed that if estrogen caused your
>> cancer, it would be an ER+ cancer.

I have just read a new study on cancer rates 1980-2006 which shows that
ER+ rates have risen somewhat erratically over that time, but ER- rates
have fallen more steadily.  Both rates showed a drop after the HRT
problem was discovered.

The study looked at possible relations between to the changes in HRT
over the period, but did not manage to draw any conclusion on that.
They described the changes in ER- rates as "enigmatic".

The main increase (in ER+) was attributed to improvements screening and
detection, which tended to preferentially detect more ER+ cancers, to
detect them earlier, and to "overdetect", i.e. to detect slow-growing
cancers in older women, that would never have become symptomatic.

In summary, with reference to this thread, the study did not show any
obvious connection between HRT and ER status.

Tim Jackson

Reference: J Natl Cancer Inst.  2007;99(15):1152-1161
www.medscape.com/viewarticle/562043?src=mp  (needs free subscription)
Mizz Marcia Ryder - 08 Sep 2007 16:37 GMT
"Eva"  wrote :

>> ....No, estrogen does not (specifically) cause ER+ cancers.  Estrogen
>> makes existing ER+ cancers grow faster.  ER+ has nothing to do with this
[quoted text clipped - 11 lines]
>
> IOW, that that accursed cream probably *did* cause my cancer?

Eva,
Except for a extremely brief try at birth control pills (like for 2 months over 30
years ago),
I have never taken any form of estrogen (to my knowledge).  I went through
menopause
without any hormone therapy since I believed the medical literature of the time
(5-10 years
ago) that women with a history of cysts, tumors (I'd had 2 benign) and fibrocystic
breast
disease (moi) were at greater risk of having BC.   Still her I am having BC big
time and
ER+ at that.  Perhaps I'm an anomaly?  I think not.  I just think there's not
enough
known about BC to predict such cause/effect.

Marsha (who is not a doctor and has never played one on TV)
Mary Fisher - 29 Aug 2007 20:05 GMT
>> Shows that one hand has no idea what the other is doing in breast cancer
>> research!  Why do they think so many of us are taking Arimidex?   Maybe
[quoted text clipped - 32 lines]
>
> Tim Jackson

Thanks, Tim.

Mary
Mary E. - 30 Aug 2007 09:57 GMT
I had an IUD inserted (for 5 years) which contained progesterone to control
my heavy, irregular cycles and large 5cm fibroid!  I rejected having a
hysterectomy and often wondered whether this IUD contributed to my breast
cancer.  I often questioned this in my mind and with my doctor.  I also took
the pill for many years as well.  Makes you wonder with the hormones and
with my genes!  Now on Arimidex - wish I could get away from hormone
tablets!!
Mary E.

>>> Shows that one hand has no idea what the other is doing in breast cancer
>>> research!  Why do they think so many of us are taking Arimidex?   Maybe
[quoted text clipped - 36 lines]
>
> Mary
 
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