Guía para el manejo de los síntomas menopáusicos en mujeres con cáncer de mama

Contenido principal del artículo

Alejandra Belardo
Lucía Domingo

Resumen

.

Downloads

Download data is not yet available.

Detalles del artículo

Sección

Revisión

Cómo citar

1.
Belardo A, Domingo L. Guía para el manejo de los síntomas menopáusicos en mujeres con cáncer de mama. Rev Hosp Ital B.Aires [Internet]. 2009 Dec. 10 [cited 2026 Apr. 26];29(2):88-96. Available from: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/1045

Referencias

Bordeleau l, Pritchard K, Goodwin P, et al. therapeutic options for themanagement of hot flashes in breast cancer survivors: an evidence-based review.clin ther. 2007;29(2):230-41. DOI: https://doi.org/10.1016/j.clinthera.2007.02.006

carpenter Js, Johnson d, Wagner l, et al. Hot flashes and related outcomes in breast cancer survivors and matched comparison women. oncol nurs Forum. 2002;29(3):e16-25 DOI: https://doi.org/10.1188/02.ONF.E16-E25

Harris PF, remington Pl, trentham-dietz a, et al. Prevalence and treatment of menopausal symptoms among breast cancer survivors. J Pain symptom Manage. 2002;23(6):501-9 DOI: https://doi.org/10.1016/S0885-3924(02)00395-0

Kronenberg F. Hot flashes: epidemiology and physiology. ann n Y acad sci. 1990;592:52-86; discusión 123-33. DOI: https://doi.org/10.1111/j.1749-6632.1990.tb30316.x

Goodwin PJ, ennis M, Pritchard Ki, et al. risk of menopause during the first year after breast cancer diagnosis. J clin oncol. 1999;17(8):2365-70. DOI: https://doi.org/10.1200/JCO.1999.17.8.2365

Mortimer Je. Hormone replacement therapy and beyond. the clinical challenge of menopausal symptoms in breast cancer survivors. Geriatrics. 2002;57(9):25-31

cella d, Fallowfield lJ. recognition and management of treatment-related side effects for breast cancer patients receiving adjuvant endocrine therapy. Breast cancer res treat. 2008;107(2):167-80. DOI: https://doi.org/10.1007/s10549-007-9548-1

Fellowes d, Fallowfield lJ, saunders cM, et al. tolerability of hormone therapies for breast cancer: how informative are documented symptom profiles in medical notes for ‘well-tolerated’ treatments? Breast cancer res treat. 2001;66(1):73-81. DOI: https://doi.org/10.1023/A:1010684903199

Barron ti , connolly r, Bennett K, et al. early discontinuation of tamoxifen: a lesson for oncologists. cancer. 2007;109(5):832-9. DOI: https://doi.org/10.1002/cncr.22485

canney Pa, Hatton MQ. the prevalence of menopausal symptoms in patients treated for breast cancer. clin oncol ( r coll radiol). 1994;6(5):297-9. DOI: https://doi.org/10.1016/S0936-6555(05)80270-5

schover lr . sexuality and body image in younger women with breast cancer. J natl cancer inst Monogr. 1994;(16):177-82.

ockene JK, Barad dH, cochrane BB, et al. symptom experience after discontinuing use of estrogen plus progestin. JaMa. 2005;294(2):183-93. DOI: https://doi.org/10.1001/jama.294.2.183

Pérez dG, Zahasky KM, loprinzi cl , et al. tamoxifen-associated hot flashes in women. support cancer ther. 2007;4(3):152-6. DOI: https://doi.org/10.3816/SCT.2007.n.009

Goodwin PJ, ennis M, Pritchard Ki, et al. risk of menopause during the first year after breast cancer diagnosis. J clin oncol. 1999;17(8):2365-70 DOI: https://doi.org/10.1200/JCO.1999.17.8.2365

Madalinska JB, van Beurden M, Bleiker eM, et al. the impact of hormone replacement therapy on menopausal symptoms in younger high-risk women after prophylactic salpingo-oophorectomy. J clin oncol. 2006;24(22): 3576-82 DOI: https://doi.org/10.1200/JCO.2005.05.1896

Howell a, cuzick J, Baum M, et al. results of the atac ( arimidex, tamoxifen, alone or in combination) trial after completion of 5 years’ adjuvant treatment for breast cancer. lancet. 2005;365(9453):60-2 DOI: https://doi.org/10.1016/S0140-6736(04)17666-6

Burwell sr , case ld , Kaelin c, et al. sexual problems in younger women after breast cancer surgery. J clin oncol. 2006;24(18):2815-21 DOI: https://doi.org/10.1200/JCO.2005.04.2499

Fobair P, stewart sl , chang s, et al. Body image and sexual problems in youngwomen with breast cancer. Psychooncology. 2006;15(7):579-94. DOI: https://doi.org/10.1002/pon.991

Hilditch Jr, lewis J, Peter a, et al. a menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas. 1996;24(3):161-75. errata en: Maturitas. 1996;25(3):231. DOI: https://doi.org/10.1016/S0378-5122(96)01082-1

Hickey M, saunders cM, stuckey BG. Management of menopausal symptoms in patients with breast cancer: an evidence-based approach. lancet oncol. 2005;6(9):687-95. DOI: https://doi.org/10.1016/S1470-2045(05)70316-8

Kronenberg F, Fugh-Berman a. complementary and alternative medicine for menopausal symptoms: a review of randomized, controlled trials. ann intern Med. 2002;137(10):805-13 DOI: https://doi.org/10.7326/0003-4819-137-10-200211190-00009

antoine c, liebens F, carly B, et al. safety of alternative treatments for menopausal symptoms after breast cancer: a qualitative systematic review. climacteric. 2007:10(1): 23-6. DOI: https://doi.org/10.1080/13697130601176734

spence dW, Kayumov l, chen a, et al. acupuncture increases nocturnal melatonin secretion and reduces insomnia and anxiety: a preliminary report. J neuropsychiatry clin neurosci. 2004;16(1):19-28. DOI: https://doi.org/10.1176/appi.neuropsych.16.1.19

Maclennan aH, Broadbent Jl, lester s, et al. oral oestrogen and combined oestrogen/progestogen therapy versus placebo for hot flushes. cochrane database syst rev. 2004;(4):cd 002978. DOI: https://doi.org/10.1002/14651858.CD002978.pub2

sestak i, Kealy r, edwards r, et al. influence of hormone replacement therapy on tamoxifen-induced vasomotor symptoms. J clin oncol. 2006;24(24):3991-6. DOI: https://doi.org/10.1200/JCO.2005.04.3745

rossouw Je, anderson Gl, Prentice rl , et al. risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women’s Health initiative randomized controlled trial. JaMa. 2002;288(3):321-33. DOI: https://doi.org/10.1001/jama.288.3.321

anderson Gl, limacher M, assaf ar , et al. effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women’s Health initiative randomized controlled trial. JaMa. 2004;291(14):1701-12. DOI: https://doi.org/10.1001/jama.291.14.1701

conner P. Breast response to menopausal hormone therapy-aspects on proliferation, apoptosis and mammographic density. ann Med. 2007;39(1):28-41 DOI: https://doi.org/10.1080/07853890601039842

Holmberg l, anderson H; HaBits steering and data monitoring committees. HaBits (hormonal replacement therapy after breast cancer-is it safe?), a randomised comparison: trial stopped. lancet. 2004;363(9407):453-5. DOI: https://doi.org/10.1016/S0140-6736(04)15493-7

von schoultz e, rutqvist le ; stockholm Breast cancer study Group. Menopausal hormone therapy after breast cancer: the stockholm randomized trial. J natl cancer inst. 2005;97(7):533-5. DOI: https://doi.org/10.1093/jnci/dji071

loprinzi cl , Michalak Jc, Quella sK, et al. Megestrol acetate for the prevention of hot flashes. n engl J Med. 1994;331(6):347-52. DOI: https://doi.org/10.1056/NEJM199408113310602

Bertelli G, venturini M, del Mastro l, et al. intramuscular depot medroxyprogesterone versus oral megestrol for the control of postmenopausal hot flashes in breast cancer patients: a randomized study. ann oncol. 2002;13(6):883-8. DOI: https://doi.org/10.1093/annonc/mdf151

Quella sK, loprinzi cl , sloan J a, et al. long term use of megestrol acetate by cancer survivors for the treatment of hot flashes. cancer. 1998;82(9):1784-8. DOI: https://doi.org/10.1002/(SICI)1097-0142(19980501)82:9<1789::AID-CNCR27>3.3.CO;2-B

eden J. Progestins and breast cancer. am J obstet Gynecol. 2003;188(5):1123-31. DOI: https://doi.org/10.1067/mob.2003.201

tibolone: a review of clinical studies. BJ oG. 1999;106(suppl 19).

albertazzi P, di Micco r, Zanardi e. tibolone: a review. Maturitas. 1998;30(3):295-305. DOI: https://doi.org/10.1016/S0378-5122(98)00059-0

Kloosterboer HJ, sands r. intracrinology: the secret of the tissue-specificity of tibolone. J Br Menopause soc. 2000;6(suppl):23-7. DOI: https://doi.org/10.1177/13621807990050S106

valdivia i, ortega d. Mammographic density in postmenopausal women treated with tibolone, estriol or conventional hormone replacement therapy. clin drug invest. 2000;20(2):101-7. DOI: https://doi.org/10.2165/00044011-200020020-00005

landgren MB, Bennink HJ, Helmond Fa, et al. dose-response analysis of effects of tibolone on climacteric symptoms. BJoG. 2002;109(10):1109-14. DOI: https://doi.org/10.1111/j.1471-0528.2002.02020.x

Kenemans P, Bundred nJ, Foidart JM, et al. safety and efficacy of tibolone in breast-cancer patients with vasomotor symptoms: a double-blind, randomised, non-inferiority trial. lancet oncol. 2009;10(2):135-46 DOI: https://doi.org/10.1016/S1470-2045(08)70341-3

newton KM, reed sd , lacroix aZ, et al. treatment of vasomotor symptoms of menopause with black cohosh, multibotanicals, soy, hormone therapy, or placebo: a randomized trial. ann intern Med. 2006;145(12):869-79. DOI: https://doi.org/10.7326/0003-4819-145-12-200612190-00003

Kronenberg F, Fugh-Berman a. complementary and alternative medicine formenopausal symptoms: a review of randomized, controlled trials. ann intern Med. 2002;137(10):805-13 DOI: https://doi.org/10.7326/0003-4819-137-10-200211190-00009

Barton dl , loprinzi cl , Quella sK, et al. Prospective evaluation of vitamin e for hot flashes in breast cancer survivors. J clin oncol. 1998;16(2):495-500. DOI: https://doi.org/10.1200/JCO.1998.16.2.495

Pockaj Ba, Gallagher JG, loprinzi cl , et al. Phase iii double-blind, randomized, placebo-controlled crossover trial of black cohosh in the management of hot flashes: ncct G trial n01 cc 1. J clin oncol. 2006;24(18):2836-41 DOI: https://doi.org/10.1200/JCO.2005.05.4296

Belardo a, salort F, lamm M, et al. nuestra experiencia con cimicifuga racemosa en el tratamiento del síndrome climatérico en mujeres postmenopáusicas. Presentado en: 4as Jornadas argentinas de climaterio. 2003 ago 15-16; salta, argentina

lorusso a, Belardo a. isoflavonas y su acción sobre la mama. revista sae Gre . 2004;11(3).

Belardo M, Molina r. tratamiento del síndrome climatérico con isoflavonas estandarizadas de soja en la postmenopausia. revista F.a.s.G. o. 2005;4(1).

the role of isoflavones in menopausal health: consensus opinion of the north american Menopause society. Menopause. 2000;7(4):215-29. DOI: https://doi.org/10.1097/00042192-200007040-00003

nikander e, Kilkkinen a, Metsä-Heikkilä M, et al. a randomized placebo-controlled crossover trial with phytoestrogens in treatment of menopause in breast cancer patients. obstet Gynecol. 2003;101(6):1213-20. DOI: https://doi.org/10.1097/00006250-200306000-00014

antoine c, liebens F, carly B, et al. safety of alternative treatments for menopausal symptoms after breast cancer: a qualitative systematic review. climacteric. 2007:10(1): 23-6. DOI: https://doi.org/10.1080/13697130601176734

nelson Hd, vesco KK, Haney e, et al. nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis. JaMa. 2006;295(17):2057-71. DOI: https://doi.org/10.1001/jama.295.17.2057

Quella sK, loprinzi cl , Barton dl , et al. evaluation of soy phytoestrogens for the treatment of hot flashes in breast cancer survivors: a north central cancer treatment Group trial. J clin oncol. 2000;18(5):1068-74. DOI: https://doi.org/10.1200/JCO.2000.18.5.1068

Goldberg rM, loprinzi cl , o’Fallon Jr, et al. transdermal clonidine for ameliorating tamoxifen-induced hot flashes. J clin oncol. 1994;12(1):155-8. errata en: J clin oncol 1996;14(8):2411. DOI: https://doi.org/10.1200/JCO.1994.12.1.155

Pandya KJ, raubertas rF, Flynn PJ, et al. oral clonidine in postmenopausal patients with breast cancer experiencing tamoxifen-induced hot flashes: a university of rochester cancer center community clinical oncology Program study. ann intern Med. 2000;132(10):788-93. DOI: https://doi.org/10.7326/0003-4819-132-10-200005160-00004

rapkin aJ. vasomotor symptoms in menopause: physiologic condition and central nervous system approaches to treatment. am J obstet Gynecol. 2007;196(2):97-106. DOI: https://doi.org/10.1016/j.ajog.2006.05.056

stearns v. clinical update: new treatments for hot flushes. lancet. 2007;369(9579):2062-4. DOI: https://doi.org/10.1016/S0140-6736(07)60959-3

speroff l, Gass M, constantine G, et al. efficacy and tolerability of desvenlafaxine succinate treatment for menopausal vasomotor symptoms: a randomized controlled trial. obstet Gynecol. 2008;111(1):77-87. DOI: https://doi.org/10.1097/01.AOG.0000297371.89129.b3

loprinzi cl , Kugler JW, sloan J a, et al. venlafaxine in management of hot flashes in survivors of breast cancer: a randomised controlled trial. lancet. 2000;356(9247):2059-63. DOI: https://doi.org/10.1016/S0140-6736(00)03403-6

lugones l, Belardo a, tutzer M, et al. venlafaxina para el manejo de los sofocos (trabajo preliminar). Presentado en: 4as Jornadas argentinas de climaterio. 2003 ago 15-16; salta, argentina.

stearns v. clinical update: new treatments for hot flushes. lancet. 2007;369(9579):2062-4. DOI: https://doi.org/10.1016/S0140-6736(07)60959-3

loprinzi cl , sloan J a, Perez ea , et al. Phase iii evaluation of fluoxetine for treatment of hot flashes. J clin oncol. 2002;20(6):1578 DOI: https://doi.org/10.1200/JCO.20.6.1578

loprinzi cl , Flynn PJ, carpenter la , et al. Pilot evaluation of citalopram for the treatment of hot flashes in women with inadequate benefit from venlafaxine. J Palliat Med. 2005;8(5): 924-30. DOI: https://doi.org/10.1089/jpm.2005.8.924

suvanto-luukkonen e, Koivunen r, sundström H, et al. citalopram and fluoxetine in the treatment of postmenopausal symptoms: a prospective, randomized, 9-month, placebo-controlled, double-blind study. Menopause. 2005;12(1):18-26. DOI: https://doi.org/10.1097/00042192-200512010-00006

stearns v, Beebe Kl, iyengar M, et al. Paroxetine controlled release in the treatment of menopausal hot flashes: a randomized controlled trial. JaMa. 2003;289(21):2827-34. DOI: https://doi.org/10.1001/jama.289.21.2827

stearns v, slack r, Greep n, et al. Paroxetine is an effective treatment for hot flashes: results from a prospective randomized clinical trial. J clin oncol. 2005;23(28):6919-30. errata en: J clin oncol. 2005;23(33):8549. DOI: https://doi.org/10.1200/JCO.2005.10.081

Gordon Pr, Kerwin JP, Boesen KG, et al. sertraline to treat hot flashes: a randomized controlled, double-blind, crossover trial in a general population. Menopause. 2006;13(4):568-75. DOI: https://doi.org/10.1097/01.gme.0000196595.82452.ca

Grady d, cohen B, tice J, et al. ineffectiveness of sertraline for treatment of menopausal hot flushes: a randomized controlled trial. obstet Gynecol. 2007;109(4):823-30. DOI: https://doi.org/10.1097/01.AOG.0000258278.73505.fa

Kerwin JP, Gordon Pr, senf JH. the variable response of women with menopausal hot flashes when treated with sertraline. Menopause. 2007;14(5):841-5 DOI: https://doi.org/10.1097/gme.0b013e31802e7f22

Perez dG, loprinzi cl , Barton dl , et al. Pilot evaluation of mirtazapine for the treatment of hot flashes. J support oncol. 2004;2(1):50-6.

Biglia n, Kubatzki F, sgandurra P, et al. Mirtazapine for the treatment of hot flushes in breast cancer survivors: a prospective pilot trial. Breast J. 2007;13(5):490-5. DOI: https://doi.org/10.1111/j.1524-4741.2007.00470.x

stearns v, Johnson Md, rae JM, et al. active tamoxifen metabolite plasma concentrations after coadministration of tamoxifen and the selective serotonin reuptake inhibitor paroxetine. J natl cancer inst. 2003;95(23):1758-64. DOI: https://doi.org/10.1093/jnci/djg108

alfaro cl , lam YW, simpson J, et al. cYP2 d6 inhibition by fluoxetine, paroxetine, sertraline, and venlafaxine in a crossover study: intraindividual variability and plasma concentration correlations. J clin Pharmacol. 2000;40(1):58-66. DOI: https://doi.org/10.1177/00912700022008702

Jin Y, desta Z, stearns v, et al. cYP2 d6 genotype, antidepressant use, and tamoxifen metabolism during adjuvant breast cancer treatment. J natl cancer inst. 2005;97(1):30-9. DOI: https://doi.org/10.1093/jnci/dji005

reddy sY, Warner H, Guttuso t Jr, et al. Gabapentin, estrogen, and placebo for treating hot flushes: a randomized controlled trial. obstet Gynecol. 2006;108(1):41-8 DOI: https://doi.org/10.1097/01.AOG.0000222383.43913.ed

Pandya KJ, thummala ar , Griggs JJ, et al. Pilot study using gabapentin for tamoxifen-induced hot flashes in women with breast cancer. Breast cancer res treat. 2004;83(1):87-9. DOI: https://doi.org/10.1023/B:BREA.0000010676.54597.22

Pandya KJ, Morrow Gr, roscoe Ja, et al. Gabapentin for hot flashes in 420 women with breast cancer: a randomised double-blind placebo-controlled trial. lancet. 2005;366(9488):818-24 DOI: https://doi.org/10.1016/S0140-6736(05)67215-7

Guttuso t Jr, Kurlan r, Mc dermott MP, et al. Gabapentin’s effects on hot flashes in postmenopausal women: a randomized controlled trial. obstet Gynecol. 2003;101(2):337-45. DOI: https://doi.org/10.1097/00006250-200302000-00022

Butt da , lock M, lewis Je, et al. Gabapentin for the treatment of menopausal hot flashes: a randomized controlled trial. Menopause. 2008;15(2):310-8 DOI: https://doi.org/10.1097/gme.0b013e3180dca175

loprinzi cl , Kugler JW, Barton dl , et al. Phase iii trial of gabapentin alone or in conjunction with an antidepressant in the management of hot flashes in women who have inadequate control with an antidepressant alone: ncct G n03 c5. J clin oncol. 2007;25(3):308-12. DOI: https://doi.org/10.1200/JCO.2006.07.5390

norton JW. Gabapentin withdrawal syndrome. clin neuropharmacol. 2001;24(4):245-6 DOI: https://doi.org/10.1097/00002826-200107000-00011

Fallowfield l, cella d, cuzick J, et al. Quality of life of postmenopausal women in the arimidex, tamoxifen, alone or in combination (atac ) adjuvant Breast cancer trial. J clin oncol. 2004;22(21):4261-71. DOI: https://doi.org/10.1200/JCO.2004.08.029

Baum M, Buzdar a, cuzick J, et al. anastrozole alone or in combination with tamoxifen versus tamoxifen alone for adjuvant treatment of postmenopausal women with early-stage breast cancer: results of the atac ( arimidex, tamoxifen alone or in combination) trial efficacy and safety update analyses. cancer. 2003;98(9):1802-10. DOI: https://doi.org/10.1002/cncr.11745

dew J e, Wren BG, eden J a. a cohort study of topical vaginal estrogen therapy in women previously treated for breast cancer. climacteric. 2003;6(1):45-52. DOI: https://doi.org/10.1080/cmt.6.1.45.52

Goss Pe, ingle J n, Martino s, et al. a randomized trial of letrozole in postmenopausal women after five years of tamoxifen therapy for early-stage breast cancer. n engl J Med. 2003;349(19):1793-802. DOI: https://doi.org/10.1056/NEJMoa032312

Kendall a, dowsett M, Folkerd e, et al. caution: vaginal estradiol appears to be contraindicated in postmenopausal women on adjuvant aromatase inhibitors. ann oncol. 2006;17(4):584-7. DOI: https://doi.org/10.1093/annonc/mdj127

Mathias c, cardeal Mendes cM, Pondé de sena e, et al. an open-label, fixed-dose study of bupropion effect on sexual function scores in women treated for breast cancer. ann oncol. 2006;17(12):1792-6 DOI: https://doi.org/10.1093/annonc/mdl304