05-09-2007, 05:05 PM
A patient who has been taking tamoxifen to prevent breast cancer for the past 6 months presents complaining of irregular vaginal bleeding. An endometrial biopsy is performed that demonstrates atypical hyperplasia. Which of the following is the most appropriate next step in management?
A. Discontinue the tamoxifen
B. Increase the tamoxifen dose
C. Repeat the endometrial biopsy
D. Schedule a pelvic ultrasound
E. Switch the patient to estrogen
A. Discontinue the tamoxifen
B. Increase the tamoxifen dose
C. Repeat the endometrial biopsy
D. Schedule a pelvic ultrasound
E. Switch the patient to estrogen