Obstructive Endometrial Polyp: A Case Report (original) (raw)
Related papers
Proceedings in Obstetrics and Gynecology, 2013
Endometrial polyps are most commonly seen in the postmenopausal women with uterine bleeding, although the giant polyps which originate from the uterine cavity and protruding from the cervical os are rare. Several cases which have been described in the literature are usually developed secondary to tamoxifen use, and the polyps do not extend or protrude from the external cervical os. Most of the polyps protruded from the cervical os can mimic a cervical neoplasia or endocervical polyp. We report the case of a giant endometrial polyp (8x4x3 cm in size) which was protruding from the external cervical os and that developed spontaneously without tamoxifen use in a multiparous 73-year-old woman presenting with vaginal bleeding. Hysteroscopic polypectomy was performed and no recurrence was seen at 6 months after surgery. Diagnosis, management and outcome of this rare entity have been discussed according to the literature.
Endometrial polyps in infertility patients: The first study of their clinical characteristics
Clinical and experimental obstetrics & gynecology, 2018
Purpose: The study aim was to investigate clinical characteristics of endometrial polyps in women with and without infertility. Materials and Methods: Study included all patients of reproductive age who had a hysteroscopy due to endometrial polyps during 30 months. Patients were divided according to infertility problems. Detailed medical history was taken from all patients (age, BMI, parity, comorbidities, symptoms/signs, and polyp recurrence). On ultrasound scan, the polyp's largest diameter and endometrial thickness were assessed. During hysteroscopy localization of polyps and other intrauterine formations were registered. Removed polyps were histopathologically analyzed (size and histological type). Results: Study involved 257 patients (average 38.5 years of age), out of which 79 had infertility problem, while 178 patients constituted the control group. There were no significant differences regarding patient's BMI, age in decades, number of abortions, presence of comorbidities, taking hormone therapy, symptoms/signs, localization or diameters of polyps, polyp recurrence, other intrauterine findings, and histopathological types of polyps between women with and without infertility problems. Conclusion: Clinical characteristics of endometrial polyps are quite similar in women with and without infertility problems.
Endometrial polyps: Pathogenesis, sequelae and treatment
SAGE Open Medicine
Endometrial polyps are overgrowths of endometrial glands that typically protrude into the uterine cavity. Endometrial polyps are benign in nature and affect both reproductive age and postmenopausal women. Although endometrial polyps are relatively common and may be accompanied by abnormally heavy bleeding at menstruation. In asymptomatic women, endometrial polyps may regress spontaneously, in symptomatic women endometrial polyps can be treated safely and efficiently with hysteroscopic excision.
Hysteroscopic resection of symptomatic and asymptomatic endometrial polyps
Journal of Minimally Invasive Gynecology, 2007
To estimate the occurrence of malignancy and atypical hyperplasia in endometrial polyps in patients with and without symptoms. DESIGN: Retrospective registration of all patients who underwent hysteroscopic resection of endometrial polyps. Age, menopausal status, presence or absence of symptoms, any use of hormonal medication, as well as histologic diagnosis, complications, and eventual repeated surgery were documented (Canadian Task Force classification II-3).
Journal of Minimally Invasive Gynecology, 2009
To estimate the prevalence, 1-year regression rate, and clinical significance of endometrial polyps in women aged 45 to 50 years. Design: Cross-sectional study (Canadian Task Force II-2). Setting: University teaching hospital. Patients: Two hundred fifty-seven of 1000 randomly selected women aged 45 to 50 years. Interventions: Transvaginal ultrasonography and saline infusion sonography were performed in all study participants and were repeated in women with endometrial polyps after 12 months. Polyps present at follow-up were removed by hysteroscopic polyp resection. Measurements and Main Results: Endometrial polyps were diagnosed in 31 women (12.1%). At 1 year, the polyp regression rate was 27%. Myomas occurred more often in women with endometrial polyps, and women with polyps experienced significantly heavier periodic bleeding compared with women without polyps. Conclusion: Our study findings suggest that endometrial polyps are common in women aged 45 to 50 years and that women with such polyps experience heavier periodic bleeding. Although some polyps seem to regress spontaneously during 1-year follow-up, most seem to persist.
Hysteroscopy and Endometrial Polyps
Hysteroscopy Simplified by Masters, 2020
Endometrial polyps are exophytic growths of the mucous linings of the endometrium. They differ in size, shape, number and appearances. The surface epithelium of the polyp is smooth and similar to surrounding epithelium. They differ from pedunculated fibroids in the manner of surface epithelium and vascularity through the peduncle along with the surface of the growth. Polyps can be associated with glandular hyperplasia and can remain latent for a longer period of time. Grossly, they are pink-grey to white in colour, with smooth and glistening surface. The tip or the entire polyp can be haemorrhagic. Found mostly in fundal or cornual regions, polyps range from millimetres in size to those that occupy the whole uterine cavity. Some other intrauterine pathologies like endometrial hyperplasia, sarcoma or even carcinoma may show polypoid appearance. The impact of polyps on infertility mainly depends upon its size and location. Depending upon their location, they may cause mechanical obstruction (e.g. tubocornual polyp), by their association with endometriosis or by the expression of enzyme aromatase. Polyp removal appeared to improve fertility and increase pregnancy rates in previous infertile women with no other reason to explain their infertility, regardless of the size and number of their polyps.
Radiological Insights into a Rare Case of a Giant Endometrial Polyp in a Perimenopausal Woman
International Journal of Science and Research (IJSR), 0
Endometrial polyps are common benign growths of the endometrial lining, often identified during routine gynecological exams. This report describes a rare case of a large, 8 cm endometrial polyp in an asymptomatic perimenopausal woman. The initial assessment, performed via transvaginal ultrasound TVUS, revealed a well-defined echogenic mass within the uterine cavity. A pelvic MRI was performed to further evaluate the lesion, confirming its size, vascularity, and benign nature, ruling out the possibility of malignancy. This case report describes a rare occurrence of an 8 cm endometrial polyp identified in a perimenopausal woman during a routine examination. The lesion was first detected through transvaginal ultrasound TVUS, which revealed a well defined mass within the uterine cavity. A subsequent pelvic MRI confirmed the polyps size and benign nature, ruling out malignancy. The case emphasizes the importance of imaging techniques in diagnosing large endometrial polyps and guiding clinical decisions regarding management and treatment. This report contributes to the growing body of literature on the variable presentations of endometrial polyps and their diagnostic considerations. This case report aims to highlight the diagnostic process for identifying large endometrial polyps using advanced imaging techniques and discuss the clinical implications of such findings.
Malignancy in endometrial polyps: a 12-year experience
American Journal of Obstetrics and Gynecology, 2009
OBJECTIVE: Endometrial polyps (EPs) are common pathological lesions in all women. The objective of this study was to evaluate the risk of malignancy of EPs and to investigate whether clinical parameters may predict the histopathologic features of these lesions.