Zusammenfassung
Fragestellung: Untersuchung von Wirksamkeit und Verträglichkeit einer Ovarialablation mit Trenantone®
bei prämenopausalen Patientinnen mit hormonabhängigem Mammakarzinom. Material und Methodik: 133 Dokumentationen zur adjuvanten Behandlung wurden über einen Behandlungszeitraum
von 6 Monaten im Rahmen einer Anwendungsbeobachtung bei niedergelassenen Gynäkologen
gesammelt. Ergebnisse: Die mittleren Östradiolspiegel lagen nach drei Monaten Behandlung bei 18,1 pg/ml
und nach 6 Monaten bei 17,4 pg/ml. Die Amenorrhörate lag nach 6 Monaten Therapie bei
93 %. Insgesamt zeigte sich über den Zeitraum der Behandlung tendenziell eine Verbesserung
der Lebensqualität der betroffenen Frauen. Schlussfolgerung: Die Behandlung des hormonabhängigen Mammakarzinoms mit dem 3-Monats-Depot von Leuprorelinacetat
führt zu einer adäquaten Downregulation der Östradiolwerte bei guter Verträglichkeit.
Abstract
Purpose: Aim of the following analysis was to evaluate the efficacy and tolerability of ovarian
downregulation with Trenantone® in pre-menopausal patients with hormone-sensitive
breast cancer. Material and Methods: Data of 133 patients given adjuvant therapy of breast cancer with Trenantone by their
gynaecologists over a period of 6 months were collected (post-marketing surveillance
study). Results: Median blood levels of oestradiol were 18.1 pg/ml after a treatment period of three
months and 17.4 pg/ml after 6 months. Rate of amenorrhoea was 93 % after 6 months.
There was a tendency towards an improvement of quality of life in all patients during
the time of treatment. Conclusion: Treatment of hormone-sensitive breast cancer with leuprorelin in the form of a 3-month
depot injection leads to an adequate decrease in oestradiol levels over time and is
a well tolerated therapy.
Schlüsselwörter
Therapie - hormonsensitives Mammakarzinom - prämenopausale Frauen - Leuprorelin 3‐Monats‐Depot
- Verträglichkeit - effektive Downregulation
Key words
therapy - hormone sensitive breast cancer - premenopausal women - Leuprorelin 3 month
depot - tolerability - efficacy
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Prof. Dr. med. Eva-Maria Grischke
Universitäts-Frauenklinik
Calwer Straße 7
72076 Tübingen
eMail: eva-maria.grischke@med.uni-tuebingen.de