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Endometrial polyps during menopause, characterization and significance
Ist Teil von
Acta obstetricia et gynecologica Scandinavica, 1999-11, Vol.78 (10), p.883-886
Ort / Verlag
Copenhagen, DK: Munksgaard International Publishers
Erscheinungsjahr
1999
Quelle
Wiley Online Library All Journals
Beschreibungen/Notizen
To characterize postmenopausal women with endometrial polyps and to evaluate their significance.
The study population included all consecutive postmenopausal patients with a diagnosis of endometrial polyp, treated at our center over a two-year period. Demographic, medical and gynecological data were assessed with regard to the endometrial histologic findings.
Of the 146 eligible patients, 15 had endometrial hyperplasia (four with atypia); there were no cases of endometrial carcinoma. The 20 patients (13.7%) using hormone replacement therapy had a significantly higher rate of endometrial hyperplasia than non-hormone users (p<0.006). No differences were observed among the endometrial histological categories for any of the presenting symptoms and signs, ultrasonographic findings, or medical histories.
Postmenopausal endometrial polyp is a common, mostly benign entity. However, the relatively high rate of concomitant endometrial hyperplasia, especially in patients receiving hormone replacement therapy, dictates a thorough histological evaluation in all cases.