https://scholars.lib.ntu.edu.tw/handle/123456789/458712
標題: | Comparison of endometrial changes among symptomatic tamoxifen-treated and nontreated premenopausal and postmenopausal breast cancer patients | 作者: | WEN-FANG CHENG HO-HSIUNG LIN PAO-LING TORNG Huang S.-C. |
公開日期: | 1997 | 卷: | 66 | 期: | 2 | 起(迄)頁: | 233-237 | 來源出版物: | Gynecologic Oncology | 摘要: | Breast cancer patients who received tamoxifen as adjuvant therapy have been reported to have more endometrial lesions such as polyps, hyperplasia, or carcinoma. We conducted a prospective study to elucidate the endometrial changes of premenopausal and postmenopausal breast cancer patients with tamoxifen. Sixty-seven symptomatic breast cancer patients who had been on tamoxifen treatment, including 34 premenopausal and 33 postmenopausal patients, and another group of 48 patients who had not been on tamoxifen, including 25 premenopausal and 23 postmenopausal patients, were recruited. Symptomatic patients were defined as having hypermenorrhea or abnormal vaginal bleeding among premenopausal patients or postmenopausal bleeding among postmenopausal patients. Endometrial thickness and uterine size determined by vaginal ultrasonography, histologic findings, and risk factors for endometrial cancer were compared. The mean endometrial thickness and uterine size showed no statistically significant difference in premenopausal patients with (n = 34) or without (n = 25) tamoxifen treatment, whereas there was a significant difference in the postmenopausal patients with (n = 33) or without (n = 23) tamoxifen treatment (12.11 ± 12.38 mm vs 5.41 ± 2.70 mm, P = 0.025; 234.71 ± 76.36 cm3 vs 108.81 ± 81.27 cm3, P = 0.0018, respectively). The frequency of endometrial histopathologic findings was 23.5% (8/34) in tamoxifen-treated women compared with 12.0% (3/25) in nontreated women (P = 0.269) in the premenopausal groups. In contrast, it was remarkably high with 66.7% (22/33) in tamoxifen-treated women compared with 30.4% (7/23) in the nontreated women in the postmenopausal groups (P = 0.025). There were four postmenopausal patients with tamoxifen, including three with atypical endometrial hyperplasia and one endometrial carcinoma, in contrast to no postmenopausal non-treated patients, although this difference did not reach statistical significance in this study (P = 0.096). There was a remarkably high prevalence of endometrial histopathologic findings in symptomatic tamoxifen-treated breast cancer patients, especially postmenopausal women. Tamoxifen might be associated with premalignant or malignant changes in postmenopausal endometrium. Thus timely, aggressive histologic assessment such as curettage or hysteroscope should be performed to detect the endometrial lesions when symptoms occur. Vaginal ultrasonography could be a useful tool to detect the endometrial lesions. |
URI: | 2-s2.0-0031214148 https://scholars.lib.ntu.edu.tw/handle/123456789/458712 |
ISSN: | 0090-8258 | DOI: | 10.1006/gyno.1997.4739 | SDG/關鍵字: | tamoxifen; adult; article; body mass; breast cancer; controlled study; curettage; diabetes mellitus; endometrium cancer; endometrium carcinoma; endometrium hyperplasia; female; histopathology; human; hypermenorrhea; hysteroscopy; major clinical study; menarche; nullipara; polyp; postmenopause; pregnancy; premenopause; priority journal; risk factor; thyroid disease; transvaginal echography; vagina bleeding |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。