Endometrial tubal metaplasia in a young puerperal woman after breast cancer

Tamoxifen is the usual endocrine (anti-estrogen) therapy for hormone receptor-positive breast cancer in pre and post-menopausal women. Previous studies have suggested an increased prevalence of endometrial diseases after treatment with tamoxifen. The authors report a case of 38-year-old woman with d...

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Veröffentlicht in:International journal of clinical and experimental pathology 2015-01, Vol.8 (6), p.7610-7613
Hauptverfasser: Di Benedetto, Luisa, Giovanale, Valentina, Caserta, Donatella
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creator Di Benedetto, Luisa
Giovanale, Valentina
Caserta, Donatella
description Tamoxifen is the usual endocrine (anti-estrogen) therapy for hormone receptor-positive breast cancer in pre and post-menopausal women. Previous studies have suggested an increased prevalence of endometrial diseases after treatment with tamoxifen. The authors report a case of 38-year-old woman with diagnosis of endometrial polyp and tubal metaplasia, during puerperium and after micropapillary ductal breast cancer surgery, 5 years of tamoxifen treatment, spontaneous pregnancy without complications and full-term vaginal delivery. Tamoxifen is a safe and reliable treatment of breast cancer, but data suggest an association with endometrial polyps, hyperplasia, metaplasia and carcinoma. One of the most common types of endometrial metaplasia is ciliated tubal metaplasia. It is generally known that endometrial tubal metaplasia is a benign disease. However studies propose endometrial tubal metaplasia to be a potential premalignant endometrial lesion and its association with endometrial hyperplasia and well-differentiated endometrioid carcinoma. We propose close monitoring of patients taking tamoxifen and prompt evaluation of any uterine bleeding or pelvic complaint or abnormal TVUS images.
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subjects Adult
Antineoplastic Agents, Hormonal - adverse effects
Breast Neoplasms - drug therapy
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Case Report
Chemotherapy, Adjuvant
Endometrial Hyperplasia - chemically induced
Endometrial Hyperplasia - pathology
Endometrial Hyperplasia - surgery
Endometrium - drug effects
Endometrium - pathology
Endometrium - surgery
Fallopian Tube Diseases - chemically induced
Fallopian Tube Diseases - pathology
Fallopian Tube Diseases - surgery
Fallopian Tubes - drug effects
Fallopian Tubes - pathology
Fallopian Tubes - surgery
Female
Humans
Hysteroscopy
Mastectomy
Metaplasia
Polyps - chemically induced
Polyps - pathology
Polyps - surgery
Postpartum Period
Pregnancy
Tamoxifen - adverse effects
Time Factors
Treatment Outcome
title Endometrial tubal metaplasia in a young puerperal woman after breast cancer
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