Publication:
Evaluation of endometrial changes and p53 expression in tamoxifen treated women: Comparison of various methods

creativeworkseries.issn1812-2027
dc.contributor.authorHP, Pokharel
dc.contributor.authorN, Bhatla
dc.contributor.authorA, Kriplani
dc.contributor.authorA, Mukhopadhyay
dc.contributor.authorA, Srivastava
dc.contributor.authorR, Ralhan
dc.date.accessioned2025-07-22T05:39:11Z
dc.date.available2025-07-22T05:39:11Z
dc.date.issued2006
dc.description.abstractObjective: To compare transvaginal sonography (TVS), sonohysterography (SHG), hysteroscopy and endometrial aspiration (EA) and p53 expression in assessing endometrial abnormalities in women on tamoxifen. Methods: In a cross sectional study of 50 pre- and post-menopausal women receiving tamoxifen for > 2 years, all participants underwent TVS and EA. Those with endometrial thickness > 4 mm on TVS underwent hysteroscopy and SHG. Serum p53 antibody and p53 immunohistochemistry were tested in all women. Results: The sensitivity and specificity when compared with histopathology as the reference standard were as follows: TVS 100% and 33.3%, SHG 85.7% and 50%, hysteroscopy 92.8% and 80.8%, serum p53 50% and 83.3%, and p53 immunohistochemistry 57.1% and 61.1%. Prevalence of endometrial abnormalities was not significantly different in asymptomatic and symptomatic women. Conclusion: Tamoxifen-users require routine testing for endometrial evaluation. TVS followed by hysteroscopy and biopsy is an effective option. p53 expression correlates with histological abnormalities. Key words: Tamoxifen, Sonography, Sonohysterography, Hysteroscopy, Endometrium, p53
dc.identifier.urihttps://hdl.handle.net/20.500.14572/502
dc.language.isoen_US
dc.publisherKathmandu University
dc.titleEvaluation of endometrial changes and p53 expression in tamoxifen treated women: Comparison of various methods
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage151
oaire.citation.startPage145
relation.isJournalIssueOfPublication2571981e-5785-4142-970b-863aa4219be4
relation.isJournalIssueOfPublication.latestForDiscovery2571981e-5785-4142-970b-863aa4219be4
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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