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A28    SCIENCE
               Saturday 14 december 2019
            Breast cancer risk from menopause hormones may last decades




             By MARILYNN MARCHIONE                                                                                              Osborne, a Baylor College
             AP Chief Medical Writer                                                                                            of Medicine breast cancer
             SAN  ANTONIO  (AP)  —                                                                                              expert.
             Women  who  use  certain                                                                                           Women  are  prescribed
             types  of  hormones  after                                                                                         hormones    in   combina-
             menopause still have an in-                                                                                        tion because taking estro-
             creased risk of developing                                                                                         gen alone raises the risk of
             breast  cancer  nearly  two                                                                                        uterine  cancer.  However,
             decades  after  they  stop                                                                                         one-quarter   of   women
             taking  the  pills,  long-term                                                                                     over  50  no  longer  have  a
             results  from  a  big  federal                                                                                     uterus and can take estro-
             study suggest.                                                                                                     gen alone for menopause
             Although  the  risk  is  very                                                                                      symptoms.
             small,  doctors  say  a  new                                                                                       So  the  same  study  tested
             generation  of  women  en-                                                                                         estrogen    alone   versus
             tering  menopause  now                                                                                             dummy  pills  in  more  than
             may not be aware of land-                                                                                          10,000  such  women,  and
             mark  findings  from  2002                                                                                         the  conclusion  was  op-
             that  tied  higher  breast                                                                                         posite what was seen with
             cancer  rates  to  hormone                                                                                         combination     hormones.
             pills  combining  estrogen                                                                                         Women on estrogen alone
             and progestin.                                                                                                     for seven years had a 23%
             “The  message  is  prob-                                                                                           lower  risk  of  developing
             ably  not  clear”  that  even                                                                                      breast  cancer  up  to  19
             short-term  use  may  have                                                                                         years later. There were 231
             lasting  effects,  said  Dr.   In this May 6, 2010 file photo, a radiologist checks mammograms in in Los Angeles.   cases  among  them  versus
                                                                                                               Associated Press
             Rowan Chlebowski of Har-                                                                                           289 in the placebo group.
             bor-UCLA  Medical  Center   16,000  women  ages  50  to   about two-thirds.           menopause       symptoms     These  results  contradict
             in  Torrance,  California.  He   70  were  given  combina-  With roughly 19 years of fol-  may decide that the ben-  what  some  observation-
             discussed  the  new  results   tion  hormone  or  dummy   lowup, 572 breast cancers   efits  of  the  pills  outweigh   al  studies  have  found,
             Friday  at  the  San  Antonio   pills for five to six years.  have  occurred  in  women   their risks, doctors say. The   though,  and  doctors  do
             Breast Cancer Symposium.    The main part of the study   on  hormones  versus  431    advice remains to use the    not  recommend  any  hor-
             The  results  are  from  the   was stopped in 2002 when   among  those  on  dummy     lowest  possible  dose  for   mone use to try to prevent
             Women’s  Health  Initiative,   researchers surprisingly saw   pills.  That worked out to a   the shortest time.    disease  because  of  the
             a  federally  funded  study   more  heart  problems  and   29%  greater  risk  of  devel-  Why might hormones raise   murky  picture  of  risks  and
             that  tested  pills  that  doc-  breast  cancers  among   oping  the  disease  for  hor-  breast risk?             benefits.The  federal  study
             tors  long  thought  would   hormone  users.  Women      mone takers.                 “The  hormones  are  stimu-  only  tested  hormone  pills;
             help  prevent  heart  dis-  were advised to stop treat-  Still,  it  was  a  difference  of   lating  the  cells  to  grow”   getting  hormones  through
             ease, bone loss and other   ment  but  doctors  have     just  141  cases  over  many   and it can take many years   a  patch  or  a  vaginal  ring
             problems  in  women  after   continued  to  study  them   years,  so  women  with  se-  for a tumor to form and be   may  not  carry  the  same
             menopause.  More  than      and  have  information  on   vere hot flashes and other   detected, said Dr. C. Kent   risks or benefits.q


              Boeing’s crew capsule declared

              ready for 1st space flight




              By MARCIA DUNN             a Dec. 20 liftoff.           just  a  mannequin  named
              AP Aerospace Writer        “Hopefully,  we  should  all   Rosie. Three astronauts will
              CAPE  CANAVERAL,  Fla.     be getting an early Christ-  strap in for the second test
              (AP) — Boeing’s Starliner   mas  present  this  year,”   flight  of  a  Starliner  some-
              crew  capsule  finally  has   said  Phil  McAlister,  direc-  time next year.
              a launch date for its first   tor  of  NASA’s  commercial   SpaceX  also  plans  to
              test  flight  to  the  Interna-  spaceflight development.  launch astronauts for NASA
              tional Space Station.      Just a few technical issues   next  year.  The  company
              After an intensive review   remain  to  be  completed,   conducted  a  test  flight
              Thursday, NASA and Boe-    he noted.                    without  a  crew  back  in
              ing managers agreed to     No  one  will  be  aboard,   March.
                                                                      NASA  turned  to  the  two   In this Wednesday, Dec. 4, 2019 file photo, a Boeing Starliner
                                                                      private companies in 2014    spacecraft sits on a United Launch Alliance Atlas 5 rocket at
                                                                      to  ferry  astronauts  to  and   Launch Complex 41 at the Cape Canaveral Air Force Station
                                                                      from the space station.      in Cape Canaveral, Fla.
                                                                      Whether Boeing or SpaceX,                                          Associated Press
                                                                      it  will  be  the  first  time  U.S.
                                                                      astronauts  rocket  to  orbit   flight in July 2011. NASA as-  the  Starliner’s  lift  from
                                                                      from  home  soil  in  nearly   tronauts  have  been  stuck   Cape Canaveral, a little
                                                                      nine years.                  riding Russian rockets in the   before sunrise. The cap-
                                                                      The  longer-than-anticipat-  interim.                     sule  will  parachute  into
                                                                      ed hiatus stretches back to   United  Launch  Alliance’s   New Mexico on Dec. 28
                                                                      NASA’s  last  space  shuttle   Atlas  V  rocket  will  provide   to close out the flight.q
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