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British Medical Bulletin 47:470-483 (1991)
© 1991 The British Council

research-article

Oestrogens and breast cancer: Biological considerations

W R Miller

Imperial Cancer Research Fund, Medical Oncology Unit, Western General Hospital Edinburgh, UK

Abstract

The biology of oestrogens as applied to the development and progression of breast cancer has been reviewed. Particular consideration has been given to: (i) the sources by which the breast and its tumours may be supplied with oestrogen; (ii) the patterns of endogenous oestrogens within the breast; (iii) the mechanisms by which oestrogens may exert their action; and (iv) the molecular events which follow oestrogen deprivation and which may lead to hormone independence. From a greater understanding of these fundamental processes, novel anti-oestrogenic measures are being developed which represent more acceptable endocrine treatment for patients with breast cancer and offer the hope of preventation medicine for individuals at high risk of the disease.


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