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005 20180417112617.0
008 130622s2011 xxx||||| |||| 00| 0 eng d
040 _cH120
041 _aeng
100 _aJiménez López, Jesús Salvador
_91376
_eObstetricia y Ginecología
245 0 0 _aHysteroscopic dynamic assessment of the endometrium in patients treated with long-term tamoxifen
_h[artículo]
260 _bJournal of Minimally Invasive Gynecology,
_c2011
300 _a18(3):349-354.
500 _aFormato Vancouver: Pérez Medina T, Salazar FJ, San Frutos L, Ríos M, Jiménez JS, Troyano J, et al. Hysteroscopic dynamic assessment of the endometrium in patients treated with long-term tamoxifen. J Minim Invasive Gynecol. 2011;18(3):349-54.
501 _aPMID: 21411378
504 _aContiene 18 referencias
520 _aStudy objective: To describe the evolutive endometrial hysteroscopic patterns in patients undergoing long-term tamoxifen treatment. Design: Prospective analysis. Analysis of variance test with post hoc :Bonferroni test and homogeneity test of percentages were used for hypothesis contrast between the groups. Design classification: Canadian task force II-2. Setting: Four Spanish tertiary care hospitals. Patients: A total of 278 patients with breast cancer diagnosed between 2002 and 2004, which completed 5-years adjuvant therapy with tamoxifen. Interventions: Ultrasonography and hysteroscopic explorations were performed before starting the treatment and then at yearly intervals during the 5 years of adjuvant treatment. Measurements and main results: Hysteroscopic endometrial changes were significant throughout the years of treatment. Tamoxifen-exposed endometria present five different patterns: atrophic, cystic, hypervascularized, endometrial polyp, and suspicious of malignancy. Endometrial carcinoma appeared in four patients (1.5%) that bled during the follow-up. Conclusion: Tamoxifen produces five different endometrial patterns that evolve dynamically throughout the 5 years of treatment.
710 _9427
_aServicio de Obstetricia y Ginecología
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/6/pc6620.pdf
_ySolicitar documento
942 _n0
_2ddc
_cART
999 _c6620
_d6620