Which endometrial polyps should be resected?

Pérez-Medina, Tirso; Martínez, Oscar; Folgueira, Gonzalo; Bajo, J.M.

doi:10.1016/s1074-3804(99)80044-9

Cited by 27 publications

(16 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hysteroscopic resection is the ‘gold standard’ for treatment of endometrial polyps12–15 and, although it is a relatively safe procedure, it carries a risk of complications and postoperative morbidity16, 17. Consequently, the treatment of asymptomatic women with incidentally diagnosed endometrial polyps is controversial, and so there is a need for a simple and sensitive method to detect atypia and malignancy in these intrauterine lesions18.…”

Section: Introductionmentioning

confidence: 99%

Flow differences between endometrial polyps and cancer: a prospective study using intravenous contrast‐enhanced transvaginal color flow Doppler and three‐dimensional power Doppler ultrasound

Lieng

Qvigstad

Dahl

et al. 2008

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Flow differences between endometrial polyps and cancer: a prospective study using intravenous contrast‐enhanced transvaginal color flow Doppler and three‐dimensional power Doppler ultrasound

Lieng

Qvigstad

Dahl

et al. 2008

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

“…The color Doppler allows the selection of certain patients for conservative treatment of endometrial polyps [12]. In addition, low rates of resistance have been related to the degree of atypia and were found to be highly predictive [13].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of endometrial-polyp treatment with hysteroscopy in operating room

et al. 2007

View full text Add to dashboard Cite

To assess the results of using a resectoscope in the hysteroscopic resection of endometrial polyps that were previously diagnosed by office hysteroscopy and to demonstrate the necessity of extraction for histological study. A prospective long-term follow-up study (level of evidence II-2). University Hospital. 303 women presenting a hysteroscopic image of an endometrial polyp. Interventions: Office hysteroscopy, hysteroscopic resection of polyps by means of a resectoscope and an anatomopathological study of the polyps. Statistical analysis was performed. 303 diagnosed endometrial polyp formations were resected by means of hysteroscopy during surgery. In all cases, biopsies of the uterine cavity or of the polyp were negative. Resection of the polyps with hysteroscopy in the operating room using a resectoscope proved to be a safe technique. The anatomopathological study of the polyps showed hyperplasia with atypias in 10 cases (3.3%) and endometrial cancer in 9 women (3.0%). Our study data suggest that endometrial polyps should be resected because they may harbor malignant or premalignant lesions. Hysteroscopic surgery is recommended for its simplicity and scant complications.

show abstract

“…La metrorragia es el síntoma más frecuente de mujeres con PE, haciéndose sintomáticos en cerca de la mitad de casos, sin embargo, muchas veces aparecen en pacientes asintomáticas como hallazgo dentro del estudio por otras causas (2,3). La ultrasonografía y la histeroscopia no distinguen confiablemente entre pólipos benignos y malignos (4,5).…”

Section: Discussionunclassified

Pólipos Endometriales: Manejo Con Histeroscopia Quirúrgica Y Correlación Histológica

C³

et al. 2007

Rev. chil. obstet. ginecol.

View full text Add to dashboard Cite

INTRODUCCIÓNLos pólipos endometriales (PE) corresponden a crecimientos hiperplásticos localizados de las glán-dulas y del estroma endometrial, que forman una proyección sésil o pediculada desde la superficie del endometrio. Los pólipos únicos o múltiples, pueden medir desde algunos milímetros a varios centímetros. Son raros en mujeres menores de 20 años. La incidencia aumenta directamente con la edad, siendo mayor en la quinta década de la vida y declina gradualmente después de la menopausia. En mujeres histerectomizadas o en biopsia endometrial, la prevalencia es de 10 a 24%. Los RESUMENSe presenta la experiencia quirúrgica en 160 pacientes con diagnóstico ecográfico de pólipo endometrial. Se evalúan las características epidemiológicas, clínicas y la correlación histológica. La edad promedio fue de 50 años, se analizaron las variables diferenciándolas en premenopáusicas o post menopáusicas, y presencia de síntomas. En todos los subgrupos la incidencia fue igualmente alta para los pólipos endometriales, seguida en frecuencia por los leiomiomas, hiperplasia endometrial y endometrio proliferativo, entre otros. Se encontraron 3 casos de adenocarcinoma endometrial, todos en el subgrupo de las pacientes postmenopáusicas sintomáticas. El procedimiento fue bien tolerado, y sin complicaciones. Destacamos a la histeroscopia como el estándar dorado por su alta sensibilidad y especificidad en el diagnóstico de pólipo endometrial. PALABRAS CLAVE: Histeroscopia, pólipos endometriales SUMMARYThe surgical experience in 160 patients with echographic diagnostic of endometrial polyps, are analyzed. Clinical and pathological characteristics are evaluated. The patient average age was 50 years old; variables were analyzed differentiating them in pre menopausal or post menopausal, according to the presence of symptoms. In all sub-groups the incidence was equally high for the endometrial polyps, followed in frequency by leiomyomas, endometrial hyperplasia and endometria proliferative among others. Three cases of endometrial adenocarcinoma were found, all in the sub-group of the symptomatic post menopausal patients. The procedure was well tolerated, without complications. We emphasized the hysteroscopy procedure as the gold standard by its high sensitivity and specificity in the endometrial polyp diagnosis.

show abstract

Which endometrial polyps should be resected?

Cited by 27 publications

References 8 publications

Flow differences between endometrial polyps and cancer: a prospective study using intravenous contrast‐enhanced transvaginal color flow Doppler and three‐dimensional power Doppler ultrasound

Flow differences between endometrial polyps and cancer: a prospective study using intravenous contrast‐enhanced transvaginal color flow Doppler and three‐dimensional power Doppler ultrasound

Outcomes of endometrial-polyp treatment with hysteroscopy in operating room

Pólipos Endometriales: Manejo Con Histeroscopia Quirúrgica Y Correlación Histológica

Contact Info

Product

Resources

About