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Re: Tamoxifem & MirenaFrom: Atkinson, Samuel M (ATKINSONS@mail.ecu.edu)Fri Oct 28 12:13:55 2005
Endometrial cancer is reported with long term Tamox but I have done many biopsies for the increaded endometriums on Tamox and they are invariably neg. At D&C there is no endometrium at all. I think, but obv cannot prove that Tamox causes an US pix of thickened endomet that is really a fibrosed thickened myometrium that gives a false positive report. Thus I now stop with a negative Pipelle. Certainly agree with the Mirena unless you know she is PM for sure (like an FSH). Pf course 1.12 is not excessive for a menstruating woman!. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Thursday, October 27, 2005 5:19 PM To: Multiple recipients of list OB-GYN-L Subject: Tamoxifem & Mirena 50yo G2P2 Breast CA 2000 (because I insisted she have her mammograms in '99 & '00 - she tried to argue her way out). Treated with excision / sentinel nodes and radiation therapy. Followed by 5 years Tamoxifen which was completed 9/00. Mirena placed for contraception 08/04. Erratic bleeding during the summer. US done (because of Tamoxifen even though most likely benign peri-menopausal bleed with Progesterone IUD) US IUD in place. Some fibroid change. Endometrium 1.12 cm. Ovaries Fine. Thoughts, anyone?
-- Joanne Bulley, MD Keene, NH, USA
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