Re: Tamoxifen

From: art fougner, md (evsono@pipeline.com)
Wed Apr 12 15:12:24 2000


Altho tamoxifen has been used for fibroid control, it has been reported to stimulate growth in some cases. some fibroids, i guess, don't read the book.

J Reprod Med 1996 Feb;41(2):119-20

Tamoxifen-induced growth of leiomyomas. A case report.

Kang J, Baxi L, Heller D Department of Obstetrics and Gynecology, College of Physicians and Surgeons of Columbia University, New York, New York, USA.

BACKGROUND: Tamoxifen, a nonsteroidal estrogen agonist-antagonist, is used in the treatment of breast cancer. CASE: A postmenopausal woman, aged 73, while being treated with Tamoxifen, developed continuous growth of her myomatous uterus, became symptomatic and required surgery. CONCLUSION: Tamoxifen at a dose of 40 mg/d has been associated with endometrial carcinoma. The growth of myomas seen with Tamoxifen in this patient seems to be a result of its direct agonist properties.

hope this helps.

Art

At Wed, 12 Apr 2000, Eileen or Bernie wrote: >
>Someone asked me today if Tamoxifen could be a causal agent in fibroids. I
>would think it to be just the opposite.
>I know all the biopsies we did for an increase in endometrial lining were
>always fine. Do not remember anyone getting fibroids while on Tamoxifen.
>
>Eileen Roskoski, RNC
>Women's Health
>Annandale, VA

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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