Table 1. Australian clinical guidelines for endocrine therapy use in women with hormone-dependent early breast cancer [12], [13].
Menopause status | Treatment guidelines |
Pre-menopausal | Tamoxifen only |
Post-menopausal | Choice of endocrine therapy based on risk of recurrence |
High risk (tumours >2 cm) | |
• Endocrine therapy should commence with an aromatase inhibitor | |
Intermediate risk (tumours 1.1–2 cm) | |
• Adjuvant endocrine therapy with an aromatase inhibitor is recommended | |
Low risk (tumours ≤1 cm) | |
• Treatment with tamoxifen is recommended rather than with an aromatase inhibitor as the balance between benefits and harms of aromatase inhibitor is unclear for such women |