Since 1985, when Killackey originally described three cases of endomet
rial carcinoma in patients receiving tamoxifen, there have been severa
l reports confirming or denying the relationship between tamoxifen and
endometrial carcinoma. Our study of 15 patients treated for breast ca
rcinoma with tamoxifen found that papillary serous carcinoma was the m
ost common tumor in this group of patients. Several other retrospectiv
e studies reported a high incidence of high-grade endometrioid adenoca
rcinoma or high-risk variants of endometrial carcinoma in patients rec
eiving tamoxifen. (C) 1995 Wiley-Liss, Inc.