他莫昔芬用于妇科

Edgar V Mocanu , Robert F Harrison
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引用次数: 7

摘要

他莫昔芬是一种非甾体合成抗雌激素药物,是应用最广泛的选择性雌激素受体调节剂(SERM)。作为一种避孕药,它最常用于预防和治疗乳腺癌。它在妇科的作用仅限于促排卵。虽然它对绝经后妇女的脂质谱和增加骨密度有良好的影响,但它用于这些适应症是不合理的。执业妇科医生最有可能面临与长期使用他莫昔芬相关的风险:子宫内膜息肉、子宫内膜增生和子宫内膜癌;静脉血栓栓塞,卵巢囊肿和子宫内膜样卵巢癌。进一步了解雌激素受体(ER)诱导的变化可能会发现新的治疗机会。
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Tamoxifen in gynaecology

Tamoxifen, a nonsteroidal synthetic anti-oestrogen is the most widely used selective estrogen receptor modulator (SERM). Designed as a contraceptive it is most frequently used in prevention and treatment of breast cancer. Its role in gynaecology is limited to ovulation induction. Although it has a favourable effect on lipid profiles and increases bone density in postmenopausal women its use for these indications is not warranted. The practising gynaecologist will most likely be faced with the risks associated with long-term tamoxifen use: endometrial polyps, endometrial hyperplasia and endometrial cancer; venous thromboembolism, ovarian cysts and endometrioid ovarian cancers. Further insight into the oestrogen receptor (ER) tamoxifen induced changes could potentially identify new therapeutic opportunities.

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Contents Non-surgical management of urinary stress incontinence Common congenital anomalies of the female genital tract Investigations for chronic pelvic pain How to manage locally advanced primary and recurrent cancer of the uterine cervix: The surgeon's view
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