Do you discontinue anti-hormonal therapy if a high-risk ER+ HER2- localized breast cancer patient develops blood clots on anti-hormonal therapy?
How would you approach a patient who is intolerant of AI and develops thrombosis while on SERM?
Answer from: Medical Oncologist at Academic Institution
Tamoxifen has been associated with an increased risk for venous thromboembolic events, but there does not appear to be any increased risk with the aromatase inhibitors in the placebo controlled studies. These include MA.17, MA.17R in the extended endocrine therapy setting and MAP.3 and IBISII in th...
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Answer from: Medical Oncologist at Community Practice
SERMS cause increased risk of thromboembolism, and this has been known for quite some time, even before the availability of alternative agents, such as the modern aromatase inhibitors.
My practice in the ancient times was to treat women with anticoagulants, and to continue the SERM if the risk of r...
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Medical Oncologist at Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty
Another option could be low dose tamoxifen. DeCen...
Another option could be low dose tamoxifen. DeCen...
Answer from: Medical Oncologist at Community Practice
Keep in mind that there was RCT of aromatase inhibitor use versus non-use that showed an increased risk of VTE, although not as high as tamoxifen.