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Management of Osteoporosis in Postmenopausal Breast Cancer Survivors

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Essentials of Menopause Management

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Abstract

A 55-year-old Caucasian postmenopausal woman with BMI of 22.5 kg/m2 presents to the clinic for follow-up to discuss the results of her recent dual-energy X-ray absorptiometry (DXA) bone mineral density (BMD) scan. She has a personal history of premenopausal early-stage hormone receptor-positive breast cancer at age 47 and a family history of parental hip fracture. Following her initial breast cancer treatment, she received tamoxifen for 5 years (Age 47–52) followed by anastrozole (an aromatase inhibitor) until the current time. The DXA scan reports T-scores of −1.8 at the total hip and −1.6 at the lumbar spine. What would be your preferred management?

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Authors and Affiliations

  1. The Reading Hospital, Department of ObGyn, Reading, PA, USA

    Xuezhi Jiang MD, PhD, FACOG, NCMP & Peter F. Schnatz DO, FACOG, FACP, NCMP

  2. Sidney Kimmel Medical College of Thomas Jefferson University, Departments of ObGyn, Philadelphia, PA, USA

    Peter F. Schnatz DO, FACOG, FACP, NCMP

  3. Internal Medicine, Reading, PA, USA

    Xuezhi Jiang MD, PhD, FACOG, NCMP & Peter F. Schnatz DO, FACOG, FACP, NCMP

  4. Internal Medicine, Philadelphia, PA, USA

    Peter F. Schnatz DO, FACOG, FACP, NCMP

  5. East Bay Physicians Medical Group, 2500 Milvia Street, Berkeley, CA, 94704, USA

    Risa Kagan MD, FACOG, CCD, NCMP

  6. University of California, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco, CA, USA

    Risa Kagan MD, FACOG, CCD, NCMP

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  1. Xuezhi Jiang MD, PhD, FACOG, NCMP
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  2. Peter F. Schnatz DO, FACOG, FACP, NCMP
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  3. Risa Kagan MD, FACOG, CCD, NCMP
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Correspondence to Risa Kagan MD, FACOG, CCD, NCMP .

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Editors and Affiliations

  1. Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Reproductive Endocrinology and Infertility Yale School of Medicine, New Haven, Connecticut, USA

    Lubna Pal

  2. Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, Massachusetts, USA

    Raja A. Sayegh

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Jiang, X., Schnatz, P.F., Kagan, R. (2017). Management of Osteoporosis in Postmenopausal Breast Cancer Survivors. In: Pal, L., Sayegh, R. (eds) Essentials of Menopause Management. Springer, Cham. https://doi.org/10.1007/978-3-319-42451-4_18

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