IMR Press / EJGO / Volume 26 / Issue 6 / pii/2005248

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Uterine pathologies in patients undergoing tamoxifen therapy for breast cancer: ultrasonographic, hysteroscopic and histological findings

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1 Department of Gynecological, Obstetric Sciences and Reproductive Medicine, University of Messina, Italy
2 Department of Human Pathology, University of Messina, Italy
3 Department of Financial, Social and Environment Economics, University of Messina, Italy
4 Oncological Surgery Unit, University of Messina, Italy
Eur. J. Gynaecol. Oncol. 2005, 26(6), 623–626;
Published: 10 December 2005
Abstract

Purpose of investigation: To evaluate endometrial abnormalities by ultrasonography, hysteroscopy and biopsy in postmenopausal patients treated with tamoxifen as adjuvant therapy for breast cancer. Methods: The study was carried out on 113 patients who underwent vaginal ultrasonography, hysteroscopy and endometrial biopsy. Results: There was a significative relation between ultrasonographic and hysteroscopic features (p < 0.00l); 58 polyps were diagnosed at hysteroscopy, although 35 were not found at ultrasonography. A significant relation between ultrasonographic and histological findings was also documented (p < 0.005). A significant relation between histological findings and symptomatology was found (p < 0.05), although pathologies were also present in asymptomatic women. Conclusions: These results show that long-term tamoxifen therapy in breast cancer patients is associated with a higher incidence of uterine pathology. No significant relation has been documented between duration of treatment and grade of endometrial lesion (p > 0.05). Ultrasonography alone is useful in asymptomatic patients because it selects patients with increased endometrial thick­ness who should undergo hysteroscopy. Hysteroscopy is more accurate in detecting polyps, hyperplastic and neoplastic changes. Asymptomatic tamoxifen treated women should be evaluated as symptomatic patients.

Keywords
Breast cancer
Tamoxifen
Transvaginal ultrasound
Hysteroscopy
Endometrial cancer
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