A case of low-grade endometrial stromal sarcoma (endolymphatic stromal
myosis) occurring in a patient who had received tamoxifen citrate for
3 years following surgical treatment for breast cancer is presented,
Endometrial adenocarcinomas have been the most frequently reported tum
or associated with tamoxifen use, More recently, uterine sarcomas have
also been described in association with the use of tamoxifen, This re
port adds only the second case of a low-grade endometrial stromal sarc
oma associated with tamoxifen use, As in the first report, the tumor d
emonstrated a sex-cord-like pattern of differentiation, an uncommon fe
ature of endometrial stromal sarcomas, This suggests a possible associ
ation between tamoxifen use and the subsequent development of low-grad
e endometrial stromal sarcoma. (C) 1997 Academic Press.