title: [Selection of patients with breast cancer with regard to endocrine therapy].
abstract: Predictive tests assisting in selection of breast cancer patients for endocrine therapy have been reviewed. Information gained from histologic sections, such as degree of the tumor differentiation, degree of elastosis, Barr-body count and the DNA content, are valuable predictors of prognosis and response to endocrine therapy. The length of time between mastectomy and recurrence of metastasis is an important factor in predicting response to ablative endocrine surgery. The presence of various enzymes in the tumor tissue, blood groups, immunologic competence, altered metabolism of tryptophan, urinary excretion of steroids and  in vitro hormonal responsiveness of the tumor tissue have not been widely used as predictors of tumor response to endocrine therapy. The determination of hormone receptors in primary or metastatic breast tumors is at present the most reliable test in selecting breast cancer  patients for endocrine therapy. Future developments in hormone receptor assay may provide a means of tailoring endocrine therapy to the individual patient.
mesh_terms: D000311:Adrenal Glands / Q000601:surgery; D001943:Breast Neoplasms / Q000628:therapy*; D004273:DNA, Neoplasm / Q000378:metabolism; D004702:Endocrine Glands / Q000601:surgery*; D005260:Female; D006728:Hormones / Q000627:therapeutic use*; D006801:Humans; D007016:Hypophysectomy; D009362:Neoplasm Metastasis; D011956:Receptors, Cell Surface / Q000032:analysis*; D011960:Receptors, Estrogen / Q000032:analysis; D013997:Time Factors
chemical_list: D004273:DNA, Neoplasm; D006728:Hormones; D011956:Receptors, Cell Surface; D011960:Receptors, Estrogen
vernacular_title: Sélection des patientes atteintes de cancer du sein en vue d'une thérapeutique endocrinienne.