Search
uterine polyp; endometrial polyp
A polyp occurring in the uterus.
Epidemiology:
-> 5%/year* incidence rate in premenopausal women > 30
* small study
Pathology:
-> 50% regression in 2.5 years
Clinical manifestations:
-> abnormal uterine bleeding
Radiology:
-> pelvic ultrasound
Complications:
- 3.6% of endometrial polyps malignant [2]
a) risk factors for neoplasia
- postmenopausal (HR = 3.9)
- abnormal vaginal bleeding (HR = 2.0)
b) editorialist is surprised at high incidence of malignancy [2]
Management:
1) observation
2) hysterectomy
General
polyp
References
- Journal Watch 22(16):129, 2002
DeWaay DJ et al
Natural history of uterine polyps and leiomyomata.
Obstet Gynecol 100:3, 2002
PMID: 12100797
- Journal Watch, Dec 7, 2010
Massachussets Medical Society (editorial)
- Lee SC et al.
The oncogenic potential of endometrial polyps: A systematic
review and meta-analysis.
Obstet Gynecol 2010 Nov; 116:1197.
PMID: 20966706