Table 1.
Incidence of amenorrhea induced by the most commonly used chemotherapy regimens in breast cancer
| Rate of amenorrhea | |||||||
| Reference | Year | Patients (n) | Chemotherapy regimen | Duration of treatment (months) | Follow-up to definite amenorrhea (months) | Percentage | Age (years) |
| Goldhirsch and colleagues [4] | 1990 | 541 | CMF | 1 | 9 | 14/34 | <40/>40 |
| 387 | 6 | 33/81 | <40/>40 | ||||
| Bines and colleagues [5] | 1996 | 3,628 | CMF | 3 to 24 | 12 | 40/76 | <40/>40 |
| Levine and colleagues [6] | 1998 | 359 | CMF | 6 | NA | 42.6 | |
| 132 | FEC | 6 | |||||
| Goodwin and colleagues [7] | 1999 | 83 | CMF | 6 | 12 | 55.6 | |
| 25 | FEC | 6 | 64.6 | ||||
| Nabholtz and colleagues [8] | 2002 | 745 | ACD | 6 | 33 | 51.4 | |
| 746 | FAC | 6 | |||||
| Fornier and colleagues [9] | 2005 | 84 | AC-T/D | 6 | 12 | 13 | |
| 82 | AC-T/D + tamoxifen | 17 | |||||
| Martin and colleagues [10] | 2005 | 420 | ACD | 6 | NA | 61.7 | |
| 403 | FAC | 52.4 | |||||
| Venturini and colleagues [11] | 2005 | 503 | FEC | 4 | 120 | 64 | |
| Petrek and colleagues [12] | 2006 | 120 | AC | 4 | 36 | 53 | |
| 168 | ACT | 6 | 42 | ||||
| 83 | CMF | 8 | 82 | ||||
| 38 | FAC | 6 | NA | ||||
| 34 | FACT | 6 | NA | ||||
| 19 | ACD | 6 | 45 | ||||
| Tham and colleagues [13] | 2007 | 75 | AC | 4 | 12 | 44/81 | <40/>40 |
| 116 | AC + T/D | 4 + 3 | 61/85 | <40/>40 | |||
| Total | 8,681 | ||||||
AC, adriamycin (doxorubicin), and cyclophosphamide; ACD, adriamycin (doxurubicin), cyclophosphamide and docetaxel; AC-T/D, adriamycin (doxorubicin), cyclophosphamide and taxol (paclitaxel)/docetaxel; CMF, cyclophosphamide, methotrexate, and 5-fluorouracil; FAC, 5-fluorouracil, adriamycin (doxorubicin), and cyclophosphamide; FACT, 5-fluorouracil, adriamycin (doxorubicin), cyclophosphamide and taxol (paclitaxel); FEC, 5-fluorouracil, epirubicin, and cyclophosphamide; NA, not available.