Re: Tamoxifen and endometrial thickness

From: art fougner, md (evsono@pipeline.com)
Fri Nov 14 08:47:06 1997


At Fri, 14 Nov 1997, Dr Naimish Patel wrote: >
>Recently I have two postmenopausal patients on Tamoxifen who had routine
>u/s scans which revealed endometrial thickness of >10mm. At
>hysteroscopy both women had atrophic endometrium, in fact one had such
>an atrophic cavity that I thought I had created a false passage.Does
>Tamoxifen cause any known type of abnormality of the endometrium which
>may masquerade as increased endometrial thickness or should I have a
>word the U/S dept ?.
>
>--
>Dr Naimish Patel
>Bunbury Hospital
>Western Australia
>

YES! this has been reported by Steve Goldstein at NYU, among others. apparently what you see as a prominent endometrial stripe may actually represent subendometrial adenomyosis. in these cases, instillation of saline into the uterine cavity (sonohysterography) is suggested to further evaluate the true nature of Tamoixfen-induced changes.

art

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com




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