Bone-Targeted Therapy in Early Breast Cancer

Oncology (Williston Park). 2018 Nov 15;32(11):562-9.

Abstract

Aromatase inhibitors (AIs) play an important role in the adjuvant treatment of hormone receptor-positive breast cancer, but they are associated with bone loss and increased fracture risk. Although several guidelines for the management of osteoporosis and osteopenia exist, their algorithms do not account for the use of AIs. In this article, we describe the role of bone-targeted therapies, specifically for managing early breast cancer, by reviewing their bone-specific and cancer-specific benefits.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Aromatase Inhibitors / adverse effects*
  • Bone Density Conservation Agents / adverse effects
  • Bone Density Conservation Agents / therapeutic use*
  • Bone Remodeling / drug effects*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / mortality
  • Breast Neoplasms / pathology
  • Female
  • Humans
  • Molecular Targeted Therapy
  • Osteoporosis / chemically induced
  • Osteoporosis / diagnosis
  • Osteoporosis / physiopathology
  • Osteoporosis / prevention & control*
  • Osteoporotic Fractures / chemically induced
  • Osteoporotic Fractures / diagnosis
  • Osteoporotic Fractures / physiopathology
  • Osteoporotic Fractures / prevention & control*
  • Protective Factors
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Aromatase Inhibitors
  • Bone Density Conservation Agents