Tamoxifen and hysterectomy

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  1. pr10seller XenForo Moderator

    Tamoxifen and hysterectomy


    To assess the relationship between low-dose tamoxifen, usage and endometrial cancer in breast cancer patients. In this case-control study, the records of the 1017 patients treated at Wilford Hall Medical Center for primary breast cancer between 19 were reviewed. Dose and duration of tamoxifen therapy were recorded as well as the presence of a uterus. Potential confounding variables including diabetes mellitus, hypertension, age, weight, tobacco use, and family history of breast or gynecologic cancer were recorded. Of the 1017 patients in the study, 56 had inadequate records and 375 had undergone a prior hysterectomy and these patients were excluded from the study, leaving 586 eligible patients. Of these 586 women with primary breast cancer and no previous hysterectomy, 108 patients had received tamoxifen, 10 mg twice a day for greater than 1 year. Four of the 108 patients subsequently developed endometrial adenocarcinoma. Four hundred seventy-eight breast cancer patients did not receive tamoxifen and 4 later developed endometrial adenocarcinoma. The odds ratio for the development of endometrial cancer when exposed to tamoxifen was 15.2 with a 95% confidence interval of 2.8–84.4. Had mastectomy on my left breast, 6 chemo and 15 radiotherapy! Last month I had a ultrasound and I have hyperplasia on the endometrio! Consultants didn't want to do anything unless I'm bleeding wich make me feel so stressed! I know that this is a side effect of the tamoxifen but I'm scared knowing that I'm on tamoxifen for 3 more years and my endometrio could continue growing! Can anyone tell me if this happen to you and if you got hysterectomy?

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    Evening Lisa tamoxifen is a estrogen blocker if you are not menopausal your ovaries are producing estrogen along with your adrenal glands. Having total. Estrogen is produced by your adrenal gland and ovaries do even with a hysterectomy a form of estrogen blocker will be prescribed if you had a estrogen positive. If I have a total hysterectomy will I have to continue on Tamoxifen ? posted 8. Then 7 weeks of radiation and I'm scheduled for a hysterectomy on 2/26. Anyway.

    Dear Onco Link "Ask The Experts,"One year ago, I was diagnosed with DCIS. The tumor was excised successfully with free margins but the words "microinvasive" were used. To be on the safe side, my surgeon performed an axillary node dissection and all nodes were negative. I received 25 radiation treatments and was prescribed Tamoxifen. The Tamoxifen caused severe bleeding to the point that I recently underwent a total hysterectomy. My question: I'm confused about the fact that since I no longer have ovaries to produce estrogen, how does the Tamoxifen help me? Thank you for this Internet site; it has been the most informative site. Kevin Fox, MD, Assistant Director, Clinical Affairs and Associate Professor of Hematology/Oncology at the Abramson Cancer Center of the University of Pennsylvania, responds: Tamoxifen doesn't "need" ovaries present producing estrogen to be valuable. SNJulie wrote: Many times in this journey, I have regretted not having a bi-lateral instead of the lumpectomy... I am not a bit afraid of a surgery..rather have that than more treatments. I am going to begin tamoxifen soon and wondered if any of you talked to your onc about having a hysterectomy? It is so easy these days, done with laproscopy, and I wonder why they dont do it to eliminate the risks of endo and uterine cancer. I am so glad to be finished with rads but now start worrying about the SE of tamoxifen...this ever end?????????? Julie Log in to post a reply Jul 23, 2007 PM burns_la wrote: I had invasive DCIS, mast, immed tram, chemo..on to Tamoxifen. I am a DES daughter and have a higher risk for a uterine cancer. I asked my Gyn if I could get a hysterectomy to reduce the chance of another cancer to deal with. " He also said that most insurance companies approve surgeries based on what they cover more than what they think you need (even some HMOs! He sent in a request for the surgery, it was approved, I had it done laparascopically (sp?

    Tamoxifen and hysterectomy

    Italian randomized trial among women with hysterectomy tamoxifen., Can anyone offer insight on tamoxifen vs hysterectomy or hormone.

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  7. Oct 26, 2017. Harry Connick Jr.'s wife Jill Goodacre has been taking tamoxifen since her breast cancer surgery. Here are the facts on tamoxifen's side effects.

    • Jill Goodacre Is Stopping Tamoxifen What to Know About the Drug..
    • Hysterectomy and breast cancer MyBCTeam.
    • A Retrospective Study of Tamoxifen and Endometrial Cancer in..

    Abstract. Tamoxifen improves outcome in women with breast cancer and reduces the incidence of estrogen receptor-positive ER+ breast tumors in prevention. My insurance company is approving ovaries being removed but not the total hysterectomy- it seems like more studies are showing tamoxifen. Jun 14, 2011. Overall, the analysis showed that raloxifene is better than tamoxifen for. a hysterectomy, the benefit-risk profiles for raloxifene and tamoxifen.

     
  8. leavi Well-Known Member

    The UK Prospective Diabetes Study, a large clinical trial performed in 1980-90s, provided evidence that metformin reduced the rate of adverse cardiovascular outcomes in overweight patients with type 2 diabetes relative to other antihyperglycemic agents. Treatment guidelines for major professional associations including the European Association for the Study of Diabetes, the European Society for Cardiology and the American Diabetes Association, now describe evidence for the cardiovascular benefits of metformin as equivocal. In 2017, the American College of Physicians's guidelines were updated to recognize metformin as the first-line treatment for type-2 diabetes. For example, a 2014 review found tentative evidence that people treated with sulfonylureas had a higher risk of severe low blood sugar events (RR 5.64), though their risk of non-fatal cardiovascular events was lower than the risk of those treated with metformin (RR 0.67). There was not enough data available at that time to determine the relative risk of death or of death from heart disease. study known as the Diabetes Prevention Program, participants were divided into groups and given either placebo, metformin, or lifestyle intervention and followed for an average of three years. Metformin treatment of people at a prediabetes stage of risk for type 2 diabetes may decrease their chances of developing the disease, although intensive physical exercise and dieting work significantly better for this purpose. The intensive program of lifestyle modifications included a 16-lesson training on dieting and exercise followed by monthly individualized sessions with the goals of decreasing weight by 7% and engaging in physical activity for at least 150 minutes per week. The incidence of diabetes was 58% lower in the lifestyle group and 31% lower in individuals given metformin. Among younger people with a higher body mass index, lifestyle modification was no more effective than metformin, and for older individuals with a lower body mass index, metformin was no better than placebo in preventing diabetes. Metformin and Contrast Medium Why hold the metformin? Nursing2019 Metformin mri contrast dye - Из Бумаги
     
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