A Study to See Whether Estrogen Can Slow the Growth of Some ER Positive Breast Cancers

Some breast cancers have estrogen receptors (ER+). The investigators know that some ER+ tumours can be cured by hormone therapy alone while other ER+ breast cancers cannot. Currently, there is no perfect way to tell these groups apart nor do the investigators know why some respond when others do not. Research findings suggest that the two types of ER+ breast cancers differ in their response to estrogen with estrogen being toxic to one type and not the other. For those tumours that find estrogen toxic, this may explain why tumours only start to grow when estrogen levels decrease after menopause. The purpose of this study is to see whether a two-week treatment of estrogen equal to pre-menopausal estrogen levels will decrease the rate at which patients' ER+ tumours grow. This will be done by comparing the growth rate in the tissue removed during standard of care surgery after patients have been treated with 7-14 days of estrogen prior to that surgery.

Inclusion Criteria: * Female gender * Estrogen receptor positive (ER+) breast cancer * HER2 negative breast cancer * Post-menopausal by greater than 5 years * No previous hormonal replacement therapy * Low to intermediate histologic grade * ECOG Performance status of 0 of 1 * Adequate hematological, renal and hepatic function is required * Ability to take oral medication * Patient must have adequate tissue for diagnosis, biomarkers and Ki67 assays Exclusion Criteria: * Pre-menopausal women * Locally advanced or metastatic breast cancer * Current, previous or planning for pre-operative treatment with chemotherapy, hormone therapy including corticosteroids, radiation therapy for malignancy or other condition * Known hypersensitivity or intolerance to estradiol * Ischemic changes on baseline electrocardiogram * Symptomatic but untreated cholelithiasis * History of deep vein thrombosis, pulmonary embolism, stroke, acute myocardial infarction, congestive cardiac failure, untreated hypertension or known inherited hypercoagulable disorder * Undiagnosed abnormal vaginal bleeding or prior history of endometrial cancer * Untreated metabolic disturbances (glucose \> 15.0 mmol/L and triglycerides \> 400 mg/dL) * Current treatment with drugs known to be moderate or strong inhibitors of inducers of isoenzyme CYP3A4 * The time between study enrolment and definitive breast surgery is not sufficient for administration of at least 7 days of estradiol