I was fortunate to acquire this information during my research into the effects of
progesterone and breast cancer. I am concerned that this information is not yet
available to every woman who is facing surgery for breast cancer. Other studies have
shown the same results several years ago, but still no significant importance to this
information has been disseminated to the public at large.
I believe every woman who is facing surgery for breast cancer whether pre-menopausal
or post-menopausal should have access to this information. If by only having normal
levels of progesterone produced by the body during surgery can increase the survival
rate by 30% after 10 years for pre-menopausal women, it stands to reason that by
supplementing with progesterone for all women with breast cancer would increase
their survival rates for life.
Information below was released by the Imperial Cancer Research Fund and published
in CANCER, 15 November 1999.
Timing of surgery could ‘dramatically’ improve survival rates for
pre-menopausal breast cancer patients.
Pre-menopausal women who do not have surgery for breast cancer during the first
part of their menstrual cycle ( when oestrogen is dominant ) have a significantly
improved chance of survival, a new study by Imperial Cancer Research Fund has
found.
The research shows that women having breast tumours removed during the follicular
phase of their cycle ( days 3-12 when oestrogen is dominant) have a 10-year survival
rate of only 45%, compared to a 10 year survival rate of 75% for women having
surgery during other phases of their cycle ( the luteal phase, when progesterone is
dominant ).
Professor Ian Fentiman, head of the research team at Imperial Cancer Research Fund’s
Breast Unit at Guys Hospital, London said:
This work shows that timing of surgery within the menstrual cycle has a significant
effect on the 10-year survival rates of pre-menopausal women with breast cancer. As
surgery during the 10 or so days before ovulation is linked to poorer survival, this
knowledge could be used to help improve the prognosis for women with operable
breast cancer.
The researchers also discovered that survival prognosis following surgery during the
luteal phase ( when progesterone is produced ) is affected by the hormone status of the
tumour. Women with oestrogen receptor ( ER ) positive tumours had a 10-year
survival rate of 80% compared to 60% for ER negative patients. For women with
progesterone Receptor ( PR ) positive tumours, the 10-year survival rate was 88%,
but 56% for those with PR negative tumours.
Interestingly, when surgery took place during the follicular phase, the survival
prognosis did not vary according to tumour receptor status. The 10-year survival rate
for those with either positive or negative ER status was 42% and for either positive or
negative PR status the rate was 44%.
Professor Fentiman commented:
Follicular phase surgery is associated with poor prognosis regardless of hormone
status - there was no difference in the survival of patients who had surgery during this
phase when classified according to ER and PR tumour status.. More work is needed to
understand the mechanisms associated with the timing of surgery.
ENDS
This research correlates with other research that Dr Lee has been speaking about for
years. It is now obvious that having good amounts of progesterone around during
breast surgery can dramatically improve the survival of breast cancer patients. Now
we should think about the women who cannot produce their own due to a natural or
surgically induced menopause, and shouldn’t we be offering them progesterone as a
supplement before, after and during surgery.
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