HYSTEROSCOPICAL EVALUATION OF THE ENDOMETRIUM OF POST- MENOPAUSIC PATIENTS WITH BREAST CÂNCER BEFORE AND AFTER TAMOXIFEN USE
Keywords:
Breast câncer, Hysteroscopy, Tamoxifen, Endometrium, MenopauseAbstract
Objective: to study by histeroscopy and histopathology the influence of tamoxifen
on the proliferactive endometrial activity of post-menopausal women with previous
breast câncer. Method: 46 patients, 20 of them were using tamoxifen for a médium
lenght of time of 12 months were studied prospectively. Hysteroscopy with endometrial
biopsy was performed before and after the use of the drug. Results: the rates of
endometrial activity before and after the hormonal therapy were the same, that is, 10%.
Conclusion: the hormonal therapy with tamoxifen did not increase the endometrial
proliferactive activity of post menopausal patients with breast câncer. The most common
histeroscopical finding was numerous vesicles disseminated throughout the uterine
cavity, probably due to atrophy of the endometrium.
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References
1.BARAKAT RR. Tamoxifen and endometrial
neoplasia. Clin Obstet Gynecol 1996; 39: 629-40.
2.BAUM M, ODLING-SMEE W. HOUGHTON J,
RILEY D, TAYLOR H. Endometrial câncer during
tamoxifen treatment. Câncer research campaign
breast câncer trials group. Lancet 1994; 343:
1291.
3.BE SE T. KÊSEBAY D. DEMIRKIRAN F, ARVAS
M. BE SE N, MANDEL N. Ultrasonographic
appearance of endometrium in postmenopausal
breast câncer patients receiving tamoxifen. Eur J
Obstet Gynecol Reprod Biol 1996; 67: 157-62.
4.BISSETT D. DAVIS JÁ, GEORGE WD.
Gynaecological monitoring during tamoxifen
therapy. Lancet 1994; 344: 1244.
5.CECCHINI S, CIATTO S. BONARDI R et al.
Screening by ultrasonography for endometrial
carcinoma in postmenopausal breast câncer
patients under adjuvant tamoxifen. Gynecol Oncol
1996; 60: 409-11.
6.COHENI, ALTARAS MM. SHAPIRA J et al. Timedependent effect of tamoxifen therapy on
endometrial pathology in asymptomatic
postmenopausal breast câncer patients. Int J
Gynecol Pathol 1996; 15: 152-7.
7.COOK LS. WEISS NS, SCHWARTZ SM et al.
Population-based study of tamoxifen therapy and
subsequent ovarian, endometrial, and breast
cancers. J Natl Câncer Inst 1995; 87: 1359-64.
8.CORLEY D. ROWE J. CURTIS MT. HOGAN WM,
NOUMOFF JS, LIVOLSI VA. Postmenopausal
bleeding from unusual endometrial polyps in women
on chronic tamoxifen therapy. Obstet Gynecol
1992; 79: 111-6.
9.FERENCZY A. Anatomy and histology of uterine
corpus. In: Kurman RJ. Blaustein's pathology of
the female genital tract. 4th ed. New York: SpringerVerlag. 1994; 327-66.
10.FISHER B, COSTANTINO JP, REDMOND CK,
FISHER ER, WICKERHAM DL, CRONIN WM.
Endometrial câncer in tamoxifen-treated breast
câncer patients: findings from the National Surgical
Adjuvant Breast and Bowel Project (NSABP) B14. J Natl Câncer Inst 1994; 86: 527-37.
11.FORNANDER T, CEDERMARK B. MATTSSON
A. Adjuvant tamoxifen in early breast câncer:
occurence of new primary cancers. Lancet 1989;
21: 117-20.
12.HIGA GM. Tamoxine: 25-year perspective. Am J
Hosp Pharm 1994; 51: 400-3.
13.JORDAN VC. The role of tamoxifen in the
treatment and prevention of breast câncer. Curr
Probl Câncer 1992; 16: 129-76.
14.KILLAKEY MA, HAKES TB, PIERCE VK.
Endometrial adenocarcinoma on breast câncer
patients receiving antiestrogens. Câncer Treat Res
1985; 69: 237-8.^
15.LABASTIDA R. Tratado y atlas de histeroscopia.
Barcelona: Salvat. 1990; 230.
16.LAHTI E, BLANCO G. KAUPPILA A, APAJASARKKINEN M, TASKINEN PJ, LAATIKAINEN
T. Endometrial changes in postmenopausal breast
câncer patients receiving tamoxifen. Obstet
Gynecol 1993; 81: 660-4.
17.LAHTI E, VUOPALA S, KAUPPILA A, BLANCO
G, RUOKONEN A, LAATIKAINEN T. Maturation
of vaginal and endometrial epithelium in postmenopausal breast câncer patients receiving long-term
tamoxifen. Gynecol Oncol 1994; 55: 410-4.
18.NAZÁRIO ACP, RODRIGUES DE LIMA G,
ALVES AC, NOVO NF. Histological study of the
endometrium in menopausal women with breast
carcinoma. Rev Paul Med 1992; 110: 218-21.
19.PATRIARCA MT, SIMÕES RD. SMANIOTTO S
et al. Morphological action of tamoxifen in the
endometrium of persistent estrous rats. Acta Obstet
Gynecol Scand 1996; 75: 707-10.
20.POWLES TJ. HICKISH T. Tamoxifen therapy and
carcinogenic risk. J Natl Câncer Inst 1995; 87:
1343-5.
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