Evaluation of endometrial polyps

Goldstein, Steven R.; Monteagudo, Ana; Popiolek, Dorota; Mayberry, Pat; Timor‐Tritsch, Ilan E.

doi:10.1067/mob.2002.122128

Cited by 120 publications

(67 citation statements)

References 14 publications

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“…A remarkable finding in our study was that polyps were more frequent in women without AUB compared to women with AUB; 62 % of women with polyps were asymptomatic. The incidentally discovered polyps were reported to be 20-46.2 % [13,16]. On the other hand, Dreisler et al [17] found that the prevalence of uterine polyps among women without AUB was up to 82 % when women with myomas were excluded from analysis.…”

Section: Resultsmentioning

confidence: 99%

“…The sonographic volume of polyps was calculated with the formula for a prolate ellipsoid: 4/3 9 D1 9 D2 9 D3 (where D1, D2, and D3 represent the three diameters of the polyp), and the volume was expressed in milliliters (ml) [13]. The diagnosis of endometrial polyp was confirmed during diagnostic hysteroscopy using a 5-mm sheath (Karl Storz GmbH & Co., Tutlingen, Germany).…”

Section: Methodsmentioning

confidence: 99%

“…The specimens were placed in 10 % formaldehyde for histologic examination. A diagnosis of endometrial polyp was made on the basis of tissue in a polypoid shape that was covered by surface endometrium with the presence of fibrotic stroma that contained thick-walled blood vessels and endometrial glands that were variable in size and shape [13]. All the specimens were analyzed and categorized according to the World Health Organization (WHO) criteria [15].…”

Section: Methodsmentioning

confidence: 99%

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Risk Factors Associated with the Malignant Changes of Symptomatic and Asymptomatic Endometrial Polyps in Premenopausal Women

Elfayomy

Soliman

2014

J Obstet Gynecol India

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Objective This study aimed to evaluate the prevalence of premalignant and malignant lesions of symptomatic and asymptomatic endometrial polyps among premenopausal women and to verify whether different clinical parameters, and polyp volume and number are associated with a more precise estimate of malignancy. Methods One hundred and fifty women aged 29-52 years and with certain diagnosis of endometrial polyp were enrolled in a prospective observational study. The recruited patients underwent hysteroscopic polypectomy based on saline infusion sonohysterography and diagnostic hysteroscopy. Pathologic report was the main outcome. Results Among women with endometrial polyps, 62 % had asymptomatic polyps. The prevalence of premalignant and malignant polyps comprised 4.6 % of cases (3.3 % hyperplasia with atypia and 1.3 % carcinomatous polyps). The presence of abnormal uterine bleeding was not a predictor of premalignant and malignant changes in the polyp. On logistic regression analysis, the premalignant and malignant lesions were influenced by polycystic ovary syndrome (p \ 0.001; OR 4.61; CI 1.9-27), polyp volume [10 ml (p \ 0.001; OR 5.83; CI 4.31-9.17), and multiple polyps (p = 0. 01; OR 2.05; CI 1.09-3.76). Notably, the odds ratio of polyp volume [10 ml was 5.83. This additional risk confirms the importance of polyp volume in the detection of malignant transformation rather than associating bleeding in premenopausal women. Conclusion Polycystic ovary syndrome, polyp volume greater than 10 ml, and increased polyp number represent the markers of risk for premalignant and malignant 123 transformation of endometrial polyps in premenopausal women. Nonetheless, the majority of polyps are asymptomatic, and the risk of malignancy is very low. Therefore, for women with polyp volume B10 ml and no risk factors, a more expectant approach may be warranted in order to reduce surgical risks and costs.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Risk Factors Associated with the Malignant Changes of Symptomatic and Asymptomatic Endometrial Polyps in Premenopausal Women

Elfayomy

Soliman

2014

J Obstet Gynecol India

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“…Anastasiadis et al (2000) in studying of 126 endometrial polyp cases s, found that 94 were benign, 30 were with premalignant changes (complex and atypical hyperplasias) and 2 had undergone malignant degeneration (Anastasiadis et al, 2000). Malignant degeneration of endometrial polyps was observed only in postmenopausal women Goldstein et al (2002) demonstrated that the rate of malignant degeneration of an endometrial polyp was 4.8% (Goldstein et al, 2002). Hileeto and colleagues reported that malignancy potential of EP increases with age and it gets higher after 65 years (Hileeto et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Which Endometrial Pathologies Need Intraoperative Frozen Sections?

Balık

Kağıtçı²,

Üstüner³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…Genellikle menstrüel kanama düzensizliklerine yol açsalar da, asemptomatik olarak bulunup jinekolojik muayene ve kontroller esnasında tesadüfen de saptanabilirler (8). Ultrasonografik olarak şüphe edilen vakalarda şartlara göre vajinal sonohisterografi yapılması doğru tanı oranını oldukça arttırmaktadır (9).…”

Section: Introductionunclassified

The effects of the number, location, dimension and histopathological diagnosis of endometrial polyps on laboratory and clinical findings

Arıcı¹,

Cengiz²,

Yaşar³

et al. 2012

Gaziantep Med J

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The aim of this study was to evaluate the effects of the number, location, dimension and histopathological diagnosis of endometrial polyps on laboratory and clinical findings. Seventy three women with endometrial polyps who underwent hysteroscopic polyp resection at Gynecology Clinic of Bakirkoy Dr. Sadi Konuk Education and Research Hospital were evaluated retrospectively from January 2008 to July 2009. Sociodemographic characteristics, symptomatology and menopausal status of the patients were documented. Polypectomy was performed by bipolar resectoscope in all cases under general anesthesia in operating room. Hemoglobin levels were measured just before and after 3 months later operation. The number, location, dimension, histopathological diagnosis of endometrial polyps and clinical symptoms were recorded. The histopathological diagnosis were benign endometrial polyp in 70 (%95,8) cases, complex endometrial hyperplasia with atypia in two cases (%2,73) and endometrial carcinoma in one case (%1,36). Ninety percent of the patients in the menopausal group and %84,9 of the patient in the reproductive age group were symptomatic. In addition, %88,6 of polyp in the reproductive-age and %85 of polyp in the menopausal group were single. The polyp number, dimension and location were not statistically correlated with symptomatology (P=0,346, P=0,350 and P=0,742, respectively) and histopathological diagnosis (P=0,825, P=0,751 and P=0,099, respectively). Polyp location, number and dimension do not correlate with histopathological diagnosis and symtomatology. The hemoglobin levels were significantly lower in cases with symptoms.

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Evaluation of endometrial polyps

Cited by 120 publications

References 14 publications

Risk Factors Associated with the Malignant Changes of Symptomatic and Asymptomatic Endometrial Polyps in Premenopausal Women

Risk Factors Associated with the Malignant Changes of Symptomatic and Asymptomatic Endometrial Polyps in Premenopausal Women

Which Endometrial Pathologies Need Intraoperative Frozen Sections?

The effects of the number, location, dimension and histopathological diagnosis of endometrial polyps on laboratory and clinical findings

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