title: Metastatic breast carcinoma manifesting as postmenopausal uterine bleeding in a patient on tamoxifen therapy.
abstract: A rare case of breast carcinoma metastasizing to the endometrial and endocervical mucosa during tamoxifen treatment is presented. Routine histologic evaluation has been supplemented by immunohistochemical staining for intermediate filaments. Although the association of tamoxifen therapy for breast carcinoma with the development of endometrial carcinoma is well known, this is, to the best of our knowledge, the first report of metastatic breast carcinoma to the uterus of a patient on tamoxifen therapy.
authors.affiliation: Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Tzrifin, Israel.
authors.forename: R
authors.initials: R
authors.lastname: Maymon
authors.forename: B
authors.initials: B
authors.lastname: Czernobilsky
authors.forename: B
authors.initials: B
authors.lastname: Lifschitz-Mercer
authors.forename: D
authors.initials: D
authors.lastname: Schneider
authors.forename: I
authors.initials: I
authors.lastname: Bukovsky
authors.forename: A
authors.initials: A
authors.lastname: David
mesh_terms: D000368:Aged; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007124:Immunoenzyme Techniques; D017698:Postmenopause; D013629:Tamoxifen / Q000627:therapeutic use*; D014592:Uterine Hemorrhage / Q000209:etiology; D014594:Uterine Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000556:secondary*
chemical_list: D018931:Antineoplastic Agents, Hormonal; D013629:Tamoxifen