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Re: PMB & TamoxifenFrom: art fougner, md (evsono@pipeline.com)Fri Jan 21 13:36:07 2005
At Fri, 21 Jan 2005, Joanne Bulley, MD wrote: > >So ... this suggests that the myometrial sonolucencies create the false >positive of the 13mm endometrial stripe? So what ARE those sonolucencies >that are seen by US in the woman on Tamoxifen? Joanne First I totally agree that this patient with abnormal bleeding would be at increased risk for Endometrial Ca. The persistent abnormal endometrial echo was the result of changes within the subendometrial myometrium. The thought is that this might represent a reactivation of areas of adenomyosis by the tamoxifen. Other pathologies can produce a similar sonographic appearance: Cystic atrophy with thin bands and Polyps. My personal experience suggests that the most common are polyps, which of course may contain a focus of cancer. Art
-- art fougner, md
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