Cervical Polyp as Risk Factor for Hysteroscopically Diagnosed Endometrial Polyps

Vilodre, Luiz-Cezar F.; Bertat, Rosilene; Petters, Rafael; Reis, Fernando M.

doi:10.1159/000291517

Cited by 24 publications

(14 citation statements)

References 11 publications

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“…Aynı çalışmada özellikle postmenopozal olgularda endometrial polip birlikteliğinin %56.8 olması nedeniyle servikal polip olan hastalarda diagnostik histeroskopi yapılması önerilmiştir. Baş-ka bir çalışmada servikal polip saptanan olguların endometriumunun değerlendirilmesinde %26.9 oranında endometrial polip saptanmıştır (23). Çalışmamızda servikal polip nedeniyle endometrium örneklemesi yapılan olguların 11' inde endometrial polip tespit edilmiştir.…”

Section: Discussionunclassified

Endometri̇al Örnekleme Sonuçlarimiz :744 Olgunun Anali̇zi̇ (Evaluation of Endometrial Biopsy Results in Our Clinic; Analysis of 744 Cases)

Kucur¹,

Şencan²,

Yüksel³

et al. 2014

ZKTB

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Amaç: Kliniğimizde endometrial örnekleme yapı-lan olgularda, endikasyon ile histopatolojik sonuçlar arasındaki ilişkinin araştırılması. Gereç ve Yöntem:Kliniğimize Ocak 2013-Ocak 2014 tarihleri arasında başvuran ve gebelik dışı herhangibir endikasyonla endometrial örnekleme yapılan 744 olgu retrospektif olarak değerlendirildi. Veriler hastanemiz kadın hastalıkları ve doğum kliniği ve patoloji kliniği arşivinden alındı. İstatistiksel analiz için SPSS 13 programı kullanıldı. Bulgular:Olguların ortalama yaşları 43.6 +/-8.3 idi. Endometrial örnekleme endikasyonları sırasıy-la menometroraji/menoraji (%87), postmenopozal kanama (%9.5), servikal polip (%1.9), myom uteri (%1.6) idi. Histopatolojik sonuçlar ise sırayla proliferatif/sekretuar endometrium (%72.8), endometrial polip (%9.5), basit atipisiz hiperplazi (%7.9), atrofik endometrium (%3.5), endometrit (%3.2), yetersiz materyal (%0.9), endometrium kanseri (%0.8), basit atipili hiperplazi (%0.7), komplex atipili hiperplazi (%0.3), komplex atipisiz hiperplazi (%0.3) idi. Endometrium kanseri görülme oranı postmenapozal kanaması olan hasta grubunda %5.6 ile diğer gruplara oranla anlamlı derecede yüksek bulundu.Sonuç: En sık endometrial örnekleme endikasyonu menoraji/menometroraji iken endometrium kanseri açısından riskli grubun postmenopozal kanamalı olgular olduğu gösterilmiştir. Bu nedenle postmenapozal kanamalı hastalarda ciddi endometrial değerlendirme ve örnekleme yapılmasi gerekir. Ayrıca servikal polip olgularında endometriumunun değer-lendirilmesinin gerektiği sonucuna varılmıştır.Anahtar kelimeler: endometrial örnekleme, anormal uterin kanama, endometrium kanseri ABSTRACT Aims: To evaluate indications and histopathological diagnoses of endometrial samplings in our clinic. Materials-Methods:Seven hundred and fourty four subjects who required endometrial biopsy to be taken for any indication other than pregnancy between January 2013 and January 2014 were included in the study. Data collected retrospectively from Dumlupinar University Evliya Celebi Training and Research Hospital obstetrics and gynecology clinic database and pathology clinic. Statistical analysis of data was performed using SPSS for Windows 13 package programme.Results: Mean age of the subjects was 43.6 ± 8.3. Indications of endometrial sampling were menorrhagia/menometrorrhagia (87%), myoma uteri (1.6%), postmenopausal bleeding (9.5%), cervical polyp (1.9%). Histopathologic diagnoses were as follows: secretory/proliferative endometrium in 72.8%, atrophic endometrium in 3.5%, simple atypical endometrial hyperplasia in 0.7%, simple typical endometrial hyperplasia in 7.9%, complex atypical endometrial hyperplasia in 0.3%, complex typical endometrial hyperplasia in 0.3%, atrophic endometrium in 3.5%, endometrium cancer in 0.8%, and endometrial polyp in 9.5%. Insufficient sampling material was reported in 0.9%. Endometrium cancer was detected in 5.6% of postmenopausal group. Conclusion:The most common endometrial sampling indication was menorrhagia/menometrorrhagia, while endometrium cancer was detec...

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Section: Discussionunclassified

Endometri̇al Örnekleme Sonuçlarimiz :744 Olgunun Anali̇zi̇ (Evaluation of Endometrial Biopsy Results in Our Clinic; Analysis of 744 Cases)

Kucur¹,

Şencan²,

Yüksel³

et al. 2014

ZKTB

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“…[8][9][10][11][12][13][14][15][16][17] In this study, the obesity prevalence in cervical group and control group was 32 (1%), and 23 (7%), respectively. Obese women have also a higher risk of insulin resistance, hyperinsulinemia and hyperandrogenemia.…”

Section: Discussionmentioning

confidence: 51%

“…6,7 A higher prevalence of endometrial polyps was found among women with a cervical polyp (26.9%). 9 Additionally, a relationship between cervical polyps with endometrial hyperplasia and endometrial polyps have been observed. [9][10][11][12] Therefore, cervical polyps may share the same risk factors.…”

Section: Discussionmentioning

confidence: 98%

“…9 Additionally, a relationship between cervical polyps with endometrial hyperplasia and endometrial polyps have been observed. [9][10][11][12] Therefore, cervical polyps may share the same risk factors. To our knowledge, this is the first reported study comparing DM, HT, and obesity prevalence between patients with and without cervical polyps.…”

Section: Discussionmentioning

confidence: 98%

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Are Obesity, Diabetes, and Hypertension Risk Factors for Cervical Polyps?

Uçar¹,

Uçar²,

İlhan³

et al. 2016

Turkiye Klinikleri J Gynecol Obst

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226ervical polyps are common benign neoplasms of the cervix in adult women.1 They are believed to develop as a result of focal hyperplasia. They usually develop in multiparous women during the fifth Are Obesity, Diabetes, and Hypertension Risk Factors for Cervical Polyps?A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To investigate whether diabetes, hypertension, and obesity can be considered risk factors for cervical polyps. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The hospital-based case-control study was carried out. We retrospectively reviewed the records of 307 consecutive patients with cervical polyps. A control group consisting of 3 women per case-matched by the same age, same parity, same menopausal status and the same presenting symptoms. These groups were compared with respect of diabetes, hypertension and obesity prevalence. R Re es su ul lt ts s: : The study included a total of 212 patients eligible for analysis in cervical polyp group, and a matched control group consisting of 636 women without cervical polyp. Women with cervical polyp had higher body mass index than the controls, but the difference was not statistically significant (p=0.72). The prevalence of obesity was significantly higher in the cervical polyp group than the controls (p=0.016). A statistically significant correlation was found between obesity and cervical polyps (OR: 1.351, CI: 1.062-1,718). There was no significant difference between the groups with respect to the prevalence of diabetes (p=0.795) and hypertension (p=0.703). C Co on nc cl lu us si io on n: : Obesity appears to be a risk factor for cervical polyps. Obese women should receive special attention for potential coexistence of cervical polyps as part of their gynecological evaluation. This study supports the importance of weight management for the preventive plan of cervical polyps.K Ke ey y W Wo or rd ds s: : Cervix uteri; polyps; diabetes mellitus; hypertension; obesity Ö ÖZ ZE ET T A Am ma aç ç: : Diyabet, hipertansiyon ve obezitenin servikal polipler için risk faktörü olup olmadığını araştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Hastane tabanlı vaka-kontrol çalışması oluşturuldu. 307 ardışık servikal polip hastasının kayıtları retrospektif olarak değerlendirildi. Her servikal polip hastası için, aynı yaş, aynı parite, aynı menopozal durumda ve aynı başvuru şikayeti ile gelen 3 kontrol hastası belirlendi. Gruplar hipertansiyon, diyabet ve obezite prevalansı açısından karşılaştırıldı. B Bu ul lg gu ul la ar r: : Çalışma kriterlerine uygun servikal polibi olan 212 hasta vaka grubuna ve servikal polibi olmayan eşleştirilmiş 636 hasta kontrol grubuna dahil edildi. Servikal polip hastalarının beden kitle indeksi, kontrol grubundan daha fazlaydı, ancak bu fark istatistiksel anlamlı değildi (p=0,72). Obezite prevalansı servikal polip grubunda, kontrol grubundan istatistiksel olarak anlamlı düzeyde yüksek bulundu (p=0,016). Obezite ve servikal polipler arasında istatistiksel anlamlı düzeyde korelasyon saptandı (OR: 1,351, ...

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“…In another study, this figure was 26.9% (Vilodre et al, 1997). Routine excision of the cervical polyps is recommended regardless of symptomatology and simultaneous endometrial evaluation with histopathologyc examination should be done (Coeman et al, 1993;Vilodre et al, 1997). In our clinic we routinely perform endometrial sampling in patient with cervical polyps.…”

Section: Discussionmentioning

confidence: 96%