Gall Bladder Stones Formation in Patients with Breast Cancer on Tamoxifen Therapy in Iraqi Female

Authors

  • Israa Jarjees Rasheed Saeed Department of Radiology, Nineveh Health Directorate, Nineveh, Iraq
  • Ali Mohsin Hasan Department of Radiology, Ghazi AL Hariri Specialized Surgeries Hospital, Baghdad, Iraq https://orcid.org/0000-0002-5784-7435

DOI:

https://doi.org/10.3889/oamjms.2022.8677

Keywords:

Gall bladder stones, Breast cancer, Tamoxifen therapy

Abstract

BACKGROUND: Tamoxifen has an estrogenic effect on the liver, lead to increase the danger of gallstone development.

AIM: This study aimed to determine the prevalence of gall bladder stones formation during tamoxifen therapy.

METHODS: A prospective casecontrol study enrolled 14 premenopausal and 36 postmenopausal females. The gall bladder condition was assessed by abdominal ultrasound using “Alpinion Portable Color Doppler E-CUBE,” in addition, clinical parameters collected as age and weight of patients.

RESULTS: Approximately, 14 (28%) of women were premenopausal their age ranged from (25 to 44) years, and 36 (72%) postmenopausal females their age was between (45 and 78) years. The duration of tamoxifen therapy was (range >–72) months, with 33 control cases. All cases examined by pelvic ultrasound, only 11 (22%) showed gall bladder stones. The gall bladder stones were diagnosed, in 4 of premenopausal, whereas seven patients were postmenopausal. There is a significant relation with gall bladder stones with increase body weight during therapy.

CONCLUSION: There is a significant correlation between gall bladder stones formation and tamoxifen therapy. Postmenopausal women have a higher risk of developing gall bladder stones formation.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Gultekin IB, Imamoglu GI, Gultekin S, Yilmaz EA, Yilmaz Z, Alkan A, et al. Elastosonographic evaluation of endometrium in women using tamoxifen for breast cancer. Niger J Clin Pract. 2019;22(1):92-100. https://doi.org/10.4103/njcp.njcp_387_16 PMid:30666026

Forbes JF, Sestak I, Howell A, Bonanni B, Bundred N, Levy C, et al. Anastrozole versus tamoxifen for the prevention of locoregional and contralateral breast cancer in postmenopausal women with locally excised ductal carcinoma in situ (IBIS-II DCIS): A double-blind, randomised controlled trial. Lancet. 2016;387(10021):866-73. https://doi.org/10.1016/S0140-6736(15)01129-0 PMid:26686313 DOI: https://doi.org/10.1016/S0140-6736(15)01129-0

Howell A. The endocrine prevention of breast cancer. Best Pract Res Clin Endocrinol Metab. 2008;22(4):615-23. https://doi.org/10.1016/j.beem.2008.09.002 PMid:18971122 DOI: https://doi.org/10.1016/j.beem.2008.09.002

Kline L, Karpinski E. Gallbladder motility and the sex of the guinea pig. Physiol Rep. 2016;4(12):e12843. https://doi.org/10.14814/phy2.12843 PMid:27354545 DOI: https://doi.org/10.14814/phy2.12843

Chimed T, Sandagdorj T, Znaor A, Laversanne M, Tseveen B, Genden P, et al. Cancer incidence and cancer control in Mongolia: Results from the national cancer registry 2008-12. Int J Cancer. 2017;140(2):302-9. https://doi.org/10.1002/ijc.30463 PMid:27716912 DOI: https://doi.org/10.1002/ijc.30463

Lee SS, Byoun YS, Jeong SH, Kim YM, Gil H, Min BY, et al. Type and cause of liver disease in Korea: Single-center experience, 2005-2010. Clin Mol Hepatol. 2012;18(3):309-15. https://doi.org/10.3350/cmh.2012.18.3.309 PMid:23091812 DOI: https://doi.org/10.3350/cmh.2012.18.3.309

Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: Cholelithiasis and cancer. Gut Liver. 2012;6(2):172-87. https://doi.org/10.5009/gnl.2012.6.2.172 PMid:22570746 DOI: https://doi.org/10.5009/gnl.2012.6.2.172

Kim YA, Lee S, Jung JW, Kwon YJ, Lee GB, Shin DG, et al. Severe acute pancreatitis due to tamoxifen induced hypertriglyceridemia with diabetes mellitus. Chin J Cancer Res. 2014;26(3):341-4. https://doi.org/10.3978/j.issn.1000-9604.2014.05.01 PMid:25035662

Akin ML, Uluutku H, Erenoglu C, Karadag A, Gulluoglu BM, Sakar B, et al. Tamoxifen and gallstone formation in postmenopausal breast cancer patients: Retrospective cohort study. World J Surg. 2003;27(4):395-9. https://doi.org/10.1007/s00268-002-6468-4 PMid:12658480 DOI: https://doi.org/10.1007/s00268-002-6468-4

Stokes CS, Krawczyk M, Lammert F. Gallstones: Environment, lifestyle and genes. Dig Dis. 2011;29(2):191-201. https://doi.org/10.1159/000323885 PMid:21734384 DOI: https://doi.org/10.1159/000323885

Kawase A, Araki Y, Ueda Y, Nakazaki S, Iwaki M. Impact of a high-cholesterol diet on expression levels of Niemann-Pick C1-like 1 and intestinal transporters in rats and mice. Eur J Drug Metab Pharmacokinet. 2016;41(4):457-63. https://doi.org/10.1007/s13318-015-0269-2 PMid:25716431 DOI: https://doi.org/10.1007/s13318-015-0269-2

Etori S, Nakano R, Kamada H, Hosokawa K, Takeda S, Fukuhara M, et al. Tamoxifen-induced lung injury. Intern Med. 2017;56(21):2903-6. https://doi.org/10.2169/internalmedicine.8649-16 PMid:28943550 DOI: https://doi.org/10.2169/internalmedicine.8649-16

Singh HK, Prasad MS, Kandasamy AK, Dharanipragada K. Tamoxifen-induced hypertriglyceridemia causing acute pancreatitis. J Pharmacol Pharmacother. 2016;7(1):38-40. https://doi.org/10.4103/0976-500X.179365 PMid:27127396 DOI: https://doi.org/10.4103/0976-500X.179365

Sumino H, Murakami M. Investigation of atherosclerosis in postmenopausal women: Alteration of atherosclerosis-associated factors and vascular atherosclerosis by oral and transdermal estrogen replacement. Rinsho Byori. 2013;61(3):256-62. PMid:23785796

Bellet M, Gray KP, Francis PA, Láng I, Ciruelos E, Lluch A, et al. Twelve-month estrogen levels in premenopausal women with hormone receptor-positive breast cancer receiving adjuvant triptorelin plus exemestane or tamoxifen in the suppression of ovarian function trial (SOFT): The SOFT-EST substudy. J Clin Oncol. 2016;34(14):1584-93. https://doi.org/10.1200/JCO.2015.61.2259 PMid:26729437 DOI: https://doi.org/10.1200/JCO.2015.61.2259

Mohamed A, Kadambari D, Bhuvaneswari V. Tamoxifen use and gallstone formation in postmenopausal breast cancer patients in South Indian population. Indian J Cancer. 2009;46(2):151-4. https://doi.org/10.4103/0019-509x.49154 PMid:19346650 DOI: https://doi.org/10.4103/0019-509X.49154

Ahbeddou N, Belbaraka R, Fetohi M, Errihani H. Tamoxifen-induced hepatotoxicity. Indian J Cancer. 2011;48(3):385. https://doi.org/10.4103/0019-509X.84935 PMid:21921356 DOI: https://doi.org/10.4103/0019-509X.84935

Downloads

Published

2022-03-03

How to Cite

1.
Saeed IJR, Hasan AM. Gall Bladder Stones Formation in Patients with Breast Cancer on Tamoxifen Therapy in Iraqi Female. Open Access Maced J Med Sci [Internet]. 2022 Mar. 3 [cited 2024 Apr. 26];10(B):517-20. Available from: https://oamjms.eu/index.php/mjms/article/view/8677

Issue

Section

Radiology and Radiotherapy

Categories