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Chemoprevention

  • Richard A. Hubner
Chapter

Abstract

In the developed world mortality from major chronic diseases such as cardiovascular and cerebrovascular disease has decreased substantially in the past half century, whilst cancer mortality has only recently shown a modest decline [1]. Despite novel chemotherapeutic and biological agents for cancer treatment, prognosis for the large majority of patients diagnosed with advanced cancer remains poor, and cancer is now the most frequent cause of death in men and women under 85 years in the United States [2]. A promising alternative approach is to prevent the development of invasive disease by treating carcinogenesis rather than cancer itself. Cancer chemoprevention is classically defined as the use of natural, synthetic, or biological chemical agents to interfere with the process of carcinogenesis by either preventing the development of a pre-invasive lesion, inhibiting the progression of a pre-invasive lesion into an invasive cancer, or causing a reversal of a pre-invasive lesion towards the normal state [3]. Although there is a large body of pre-clinical data supporting the concept of cancer chemoprevention, a relatively small number of clinical chemoprevention trials have reported significant benefits, and the use of chemopreventive agents in routine clinical practice is currently limited to hig­h-risk cancer predisposition syndromes.

Keywords

Chemopreventive Agent Cancer Chemoprevention Breast Cancer Risk Reduction Chemoprevention Trial Regular Aspirin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of MedicineRoyal Marsden HospitalLondonUK

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