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BMJ 2003;327:359 (16 August), doi:10.1136/bmj.327.7411.359
Susan Mayor
London
| The first 150 words of the full text of this article appear below. |
Long term use of combined hormone replacement therapy (HRT) doubles the risk of breast cancer, according to a major epidemiological study published last week that showed for the first time the higher risk with combined oestrogen and progestogen treatment.
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From 1996 to 2001 the million women study recruited 1 084 110 women in the United Kingdom aged 50-64 years. When they were invited to attend for routine mammography the women were asked to complete a questionnaire that included questions about their use of HRT. They were then followed up for mortality and incidence of cancer.
The results of the study, published in the
Lancet
(2003;362: 419-27)[CrossRef][Web of Science][Medline], showed that current users of all types of HRT, including oestrogen only, combined oestrogen and progestogen, and tibolone (synthetic hormone treatment), had a higher risk of breast cancer than women who had never used HRT (adjusted relative risk 1.66 (95% confidence interval
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