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Wiley InterScience

International Journal of Gynecological Cancer

International Journal of Gynecological Cancer

Volume 17 Issue 2, Pages 325 - 338

Published Online: 17 Oct 2006

Journal compilation © 2008, IGCS and ESGO



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Hormonal therapy in ovarian cancer
H. ZHENG*†, J.J. KAVANAGH*, W. HU*, Q. LIAO & S. FU
  *Department of Gynecologic Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas;  The First Hospital of Peking University, Department of Obstetrics and Gynecology, Beijing, China; and  Department of Gynecologic Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
 Address correspondence and reprint requests to Siqing Fu, MD, PhD, Department of Gynecologic Medical Oncology, The University of Texas M. D. Anderson Cancer Center, P.O. Box 301439—Unit 1364, Houston, TX 77230-1439, USA. Email: siqingfu@mdanderson.org
Copyright 2007, Copyright the Authors Journal compilation
KEYWORDS
androgen • estrogen • gonadotropin • gonadotropin-releasing hormone • hormonal therapy • ovarian cancer • progesterone

Zheng H, Kavanagh JJ, Hu W, Liao Q, Fu S. Hormonal therapy in ovarian cancer. Int J Gynecol Cancer 2007;17:325–338.

ABSTRACT

 Abstract.  

Ovarian carcinoma continues to be the leading cause of death due to gynecological malignancy. Epidemiologic studies indicate that steroid hormones play roles in ovarian carcinogenesis. Gonadotropins, estrogen, and androgen may be causative factors, while gonadotropin-releasing hormone and progesterone may be protective factors in ovarian cancer pathogenesis. Experimental studies have shown that hormonal receptors are expressed in ovarian cancer cells and mediate the growth-stimulatory or growth-inhibitory effects of the hormones on these cells. Hormonal therapeutic agents have been evaluated in several clinical trials. Most of these trials were conducted in patients with recurrent or refractory ovarian cancer, with modest efficacy and few side effects. Better understanding of the mechanisms through which hormones affect cell growth may improve the efficacy of hormonal therapy. Molecular markers that can reliably predict major clinical outcomes should be investigated further in well-designed trials.


Accepted for publication June 7, 2006

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1525-1438.2006.00749.x About DOI

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