Tamoxifen and Uterine Disease Risk in Young Breast Cancer Survivors: Evidence from a Target Trial Emulation Study

Highlights

  • Tamoxifen use in premenopausal women (aged 20-50) is associated with a 4.2-fold increased risk of endometrial cancer in per-protocol analyses.
  • The risk for benign but clinically significant uterine diseases, such as endometrial polyps and hyperplasia, is elevated four- to eight-fold.
  • Uterine disease risk exhibits a clear duration-dependent relationship, emphasizing the need for long-term surveillance.
  • This study provides critical evidence for the Asian population, where data on young tamoxifen users was previously limited.

Background

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