Laparoscopic bilateral salpingo-oophorectomy for recurrent ovarian endometriotic cysts in a woman taking adjuvant tamoxifen for breast cancer: A case report

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2024-07-18 DOI:10.1016/j.crwh.2024.e00637

Hajime Takeuchi, Koki Yagi, Naho Tokunaga, Naoki Abe, Mariko Matsuno, Sachino Kira, Sotaro Hayashi, Lifa Lee, Yoko To, Satoshi Nishiyama, Maki Goto, Hiroshi Tsujioka

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Abstract

The case report describes the management of endometriotic cysts in a woman taking adjuvant tamoxifen. A diagnosis of endometriosis was made at the age of 38, and the condition was initially managed with a low-dose estrogen-progestogen combination; the patient then switched to dienogest at the age of 45. Following a diagnosis of breast cancer at the age of 46, dienogest was stopped and adjuvant tamoxifen treatment started. After 4 months the patient was diagnosed with bilateral ovarian cysts and underwent laparoscopic bilateral salpingo-oophorectomy. Endometriosis was diagnosed in both ovaries on histopathological examination. This case report describes progression of endometriosis in a tamoxifen user.

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腹腔镜双侧输卵管切除术治疗因乳腺癌服用他莫昔芬辅助治疗的妇女复发性卵巢子宫内膜异位囊肿：病例报告

该病例报告描述了一名服用他莫昔芬辅助治疗的妇女的子宫内膜异位囊肿治疗情况。患者在 38 岁时被诊断出患有子宫内膜异位症，起初使用低剂量雌激素-孕激素联合疗法治疗，45 岁时改用地诺孕酮。46 岁确诊乳腺癌后，停用了地诺孕酮，并开始他莫昔芬辅助治疗。4 个月后，患者被诊断出患有双侧卵巢囊肿，并接受了腹腔镜双侧输卵管切除术。经组织病理学检查确诊为双侧卵巢子宫内膜异位症。本病例报告描述了一名他莫昔芬使用者的子宫内膜异位症进展情况。

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