2018
DOI: 10.1210/js.2018-00052
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Cancer Treatment–Induced Bone Loss in Women With Breast Cancer and Men With Prostate Cancer

Abstract: Cancer and cancer therapies can have a negative impact on bone health. Because cancer is a common diagnosis, survivorship concerns for osteoporosis and fragility fractures are an important component of care. This review addresses management of bone health in nonmetastatic cancer survivorship with a focus on breast cancer and prostate cancer.

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Cited by 24 publications
(19 citation statements)
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“…It has been noticed that survivors of breast cancer often suffer from OS (26). One explanation for this is that many survivors of breast cancer experience a loss of ovarian function and a drop in estrogen levels due to chemotherapy or surgery, which promotes the development of OS (27). Another explanation is that breast cancer cells can secrete γ-secretase, cyclooxygenase-2 and interleukin-8, promoting the process of osteoclastogenesis (28,29).…”
Section: Discussionmentioning
confidence: 99%
“…It has been noticed that survivors of breast cancer often suffer from OS (26). One explanation for this is that many survivors of breast cancer experience a loss of ovarian function and a drop in estrogen levels due to chemotherapy or surgery, which promotes the development of OS (27). Another explanation is that breast cancer cells can secrete γ-secretase, cyclooxygenase-2 and interleukin-8, promoting the process of osteoclastogenesis (28,29).…”
Section: Discussionmentioning
confidence: 99%
“…Oncotherapy could lead to a long-term decrease in the physical functional capacity in gastric and colorectal cancer patients [43,44]. Chemotherapy, hormonal therapy, and radiation therapy could induce bone loss and muscle weakness in survivors of breast or prostate cancer, which were prevalent in working-age individuals [45,46]. Oncotherapy could also cause cardiovascular side-effects [47,48] and peripheral neuropathy [49].…”
Section: Restricted Physical Functional Capacitymentioning
confidence: 99%
“…CTIBL is particularly important in young women, considering their long life expectancy and is more rapid and severe than bone loss associated with menopause [27]. CTIBL is mainly caused by chemotherapy with resultant ovarian failure or endocrine treatment with gonadotropin-releasing hormone [GnRH] analogs, aromatase inhibitors and tamoxifen [28]. In contrast to postmenopausal women, tamoxifen is associated with a decreased Bone Mass Density (BMD) in premenopausal women when the menstrual cycles resume after treatment discontinuation [28,29].…”
Section: Bisphosphonatesmentioning
confidence: 99%
“…In addition to that, GnRH analogs and chemotherapyinduced ovarian dysfunction have been linked to substantial bone mass loss annually [28]. Therefore, it has been suggested that some women receive antiresorptive therapy with bisphosphonates [28]. Furthermore, there is a growing body of evidence, which highlights the antineoplastic attributes of bisphosphonates in early breast cancer, as zoledronic acid has been correlated with improved disease-free survival in patients taking anastrozole or tamoxifen and decreased probability of bone metastases [28,30,31].…”
Section: Bisphosphonatesmentioning
confidence: 99%
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