|Leslie Bernstein, Dennis Deapen, James R. Cerhan, et. al.|
|Abramson Cancer Center of the University of Pennsylvania|
| Last Modified: November 1, 2001
Reviewers: Li Liu, MD
BackgroundTamoxifen is now widely used among women of all ages for the treatment of all stages of breast cancer. Tamoxifen reduces the risk of breast cancer recurrences and mortality as well as subsequent contralateral breast cancer. However, it is also known that tamoxifen used for adjuvant therapy is associated with increasing risk of developing endometrial cancer. Other known risk factors associated with endometrial cancer include reproductive characteristics, obesity, hypertension, diabetes, use of steroid hormone preparations, and smoking. Whether these risk factors modify the tamoxifen-endometrial cancer relationship is unknown.
MethodsDr. Bernstein and associates examined factors associated with the development of endometrial cancer in 324 patients with endometrial cancer and 671 matched controls. All patients were identified from within a population-based cohort of women diagnosed with breast cancer between 1978 and 1992.
DiscussionThis study confirmed the link between tamoxifen use and endometrial cancer, and added new knowledge of the risk-enhancing effects of treatment duration, body mass index, and estrogen replacement therapy. Closer monitoring of breast cancer patients with these risk factors may be indicated during tamoxifen therapy.