Similarity of uterine mucosa changes in patients treated by raloxifen and tamoxifen.

Abstract:

BACKGROUND:Selective estrogen receptor modulators (SERMS) like Tamoxifen and Raloxifen are used for menopausal symptoms, prevention of cardio-vascular diseases, osteoporosis and mammary carcinoma. Tamoxifen acts as an estrogen inhibitor on the mammary gland, but stimulates postmenopausal uterine mucosa in about 25% of cases while decreasing the risk of osteoporosis. MATERIALS, METHODS AND RESULTS:In three menopausal women, 56, 79 and 62 years of age, we found uterine mucosal changes similar to what is found in Tamoxifen-treated patients. Using light microscopy and immuno-histopathological techniques, partly cystic mucosa with both atrophic and proliferating glands was found. Strong stromal proliferation was also seen with the typical sharp-edged form of stromal cells and mitoses. A strong ostrogen and progesterone reaction was revealed with immuno-histopathological techniques in both gland and stromal parts. CONCLUSION:Taking into account the variable amount of different estrogen-receptor types in the uterine mucosa, we can not in the long run expect that no patient will react with estrogen-stimulation features on SERMs like Raloxifen. Further studies and thorough observations are needed to elucidate the true frequency of Raloxifen impact on the uterine mucosa.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Willèn R,Willèn H,Lindahl B

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

1121-5

issue

2B

eissn

0250-7005

issn

1791-7530

journal_volume

22

pub_type

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