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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0001554,
umls-concept:C0006142,
umls-concept:C0011570,
umls-concept:C0039286,
umls-concept:C0205160,
umls-concept:C0205210,
umls-concept:C0332293,
umls-concept:C0524637,
umls-concept:C0746922,
umls-concept:C1273870,
umls-concept:C1516213,
umls-concept:C1706163,
umls-concept:C2697524,
umls-concept:C2700445
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pubmed:issue |
3
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pubmed:dateCreated |
1994-3-22
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pubmed:abstractText |
Depression is not an uncommon complaint of women with breast cancer and is usually assumed to be related to the cancer diagnosis itself or its treatment. As part of a prospective clinical trial of adjuvant therapy of node negative breast cancer, 301 patients treated and assessed by one oncologist (SEJ) were serially questioned for symptoms of depression in the first 6-12 months after completing initial treatment (surgery, radiation therapy, and/or chemotherapy). Two hundred and fifty-seven patients were evaluable for assessment of depression; 155 were receiving tamoxifen and 102 were not. Twenty-six patients had symptoms of depression including 23 (15%) treated with tamoxifen compared to 3 (3%) in the group not placed on tamoxifen (p < 0.005). Of the 23 patients with depression in the tamoxifen group, symptoms were temporally related to the initiation of therapy and occurred generally in the first 2 months of treatment. Eight patients had mild symptoms not requiring a dose reduction, 8 had significant depression requiring a dose reduction to relieve symptoms, and 7 required discontinuation of tamoxifen. We conclude that clinical depression as a side effect of tamoxifen therapy may be more common than previously believed and should be further rigorously investigated to confirm or deny our clinical impressions.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0167-6806
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
277-81
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8312586-Adult,
pubmed-meshheading:8312586-Breast Neoplasms,
pubmed-meshheading:8312586-Depression,
pubmed-meshheading:8312586-Female,
pubmed-meshheading:8312586-Humans,
pubmed-meshheading:8312586-Lymphatic Metastasis,
pubmed-meshheading:8312586-Middle Aged,
pubmed-meshheading:8312586-Tamoxifen
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pubmed:year |
1993
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pubmed:articleTitle |
Clinical recognition and management of depression in node negative breast cancer patients treated with tamoxifen.
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pubmed:affiliation |
Sammons Cancer Center, Baylor University Medical Center, Dallas, Texas 75246.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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