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CES Medicina
Print version ISSN 0120-8705
Abstract
CERA, María Hemer et al. Endometrial hyperplasia associated with use of tamoxifen in patients with breast cancer in Barranquilla. CES Med. [online]. 2021, vol.35, n.1, pp.16-25. Epub Oct 26, 2021. ISSN 0120-8705. https://doi.org/10.21615/cesmedicina.35.1.2.
Introduction:
tamoxifen has been the first line drug for the treatment of breast cancer; however, serious adverse events have been evidenced with its use. The aim of this study was to determine endometrial hyperplasia associated with the use of tamoxifen in women with breast cancer in an oncological institution in the city of Barranquilla, Colombia.
Methodology:
retrospective case-control study. A total of 202 patients with breast cancer treated between 2012 and 2017 were included. Anthropometric, sociodemographic, personal, clinical and pathological variables were evaluated. Crude and adjusted Odds ratios (OR) were estimated.
Results:
68 participants were diagnosed with endometrial hyperplasia secondary to antineoplastic treatment. Of these, 59 (86.7 %) used tamoxifen, the most of them (37.2 %) for a period of 6-11 months. Bivariate analysis showed an association between endometrial hyperplasia and tamoxifen use with an OR of 3.9 (95%CI: 1.8-8.5) and 2.9 (95%CI: 1.18-7.5) in the crude and adjusted analyses, respectively.
Conclusion:
tamoxifen use is associated with the presence of endometrial hyperplasia.
Keywords : Tamoxifen; Breast cancer; Complications; Endometrial hyperplasia.