Case report of malignant endometrial polyps

被引:1
作者
Santos, Leonor [1 ]
Coutinho, Susana [1 ]
Assuncao, Noemia [1 ]
机构
[1] HDE, Dept Obstet & Gynaecol, Lisbon, Portugal
关键词
Hysteroscopy; Malignancy; Postmenopausal bleeding; Uterine polyp;
D O I
10.1007/s10397-006-0226-9
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aims of this retrospective review were to determine the frequency of malignant endometrial polyps diagnosed with ambulatory hysteroscopy in the Obstetrics/Gynaecology Department of HDE, Lisbon, between January 2001 and December 2005 and to characterize these cases according to risk factors, sonographic and endoscopic findings tumoral histology, and tumor stage. We found seven cases of malignant endometrial polyps in a total of 1333 polyps initially diagnosed: an incidence rate of 0. 53%. These seven patients had a mean age of 68 years (55-82 years), and all were postmenopausal, with five having one risk factor each for endometrial cancer. Metrorrhagia was present in six of the seven patients (85.7%). Ultrasonography was abnormal in all seven patients, with a mean endometrial thickness of 26 mm (range: 12-44 mm). The hysteroscopy images suggested malignancy in all cases. All except one patient had a single polyp. The polyps had volumes between 1.5 and 3 cm; two were removed completely and five were biopsed. The histological subtype was: mixed endometrioid/serous papillary or clear cell (2), adenocarcinoma with squamous differentiation (2), carcinosarcoma (2), and clear cell carcinoma (1). Malignancy inside polyps is rare, but diagnostic hysteroscopy with visual guided biopsies can identify these cases in the earlier stages. The risk factors are not different from those of other endometrial carcinomas, but the histological subtype seems to point to more aggressive cancers.
引用
收藏
页码:127 / 129
页数:3
相关论文
共 50 条
[21]   Is hysteroscopic appearance a safe means of differentiating malignant from benign endometrial polyps in postmenopausal women? [J].
Reis, PDS ;
Nogueira, AA ;
dos Reis, FJC ;
Campolungo, A ;
Carrara, HHA ;
de Andrade, JM .
GYNAECOLOGICAL ENDOSCOPY, 2001, 10 (01) :49-51
[22]   Specific hysteroscopic findings can efficiently distinguish the differences between malignant and benign endometrial polyps [J].
Ngo, Yeh Giin ;
Fu, Hung-Chun ;
Chu, Li-Ching ;
Tseng, Chih-Wen ;
Chen, Chao-Yu ;
Lee, Chung-Yuan ;
Ou, Yu-Che .
TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY, 2020, 59 (01) :85-90
[23]   Hysteroscopic evaluation of endometrial polyps [J].
Fernandez-Parra, J. ;
Rodriguez Oliver, A. ;
Lopez Criado, S. ;
Parrilla Fernandez, F. ;
Montoya Ventoso, F. .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2006, 95 (02) :144-148
[24]   Themanagement of endometrial polyps in the 21st century [J].
Annan, John Jude ;
Aquilina, Joseph ;
Ball, Elizabeth .
OBSTETRICIAN & GYNAECOLOGIST, 2012, 14 (01) :33-38
[25]   Sonographic Evaluation for Endometrial Polyps The Interrupted Mucosa Sign [J].
Kamaya, Aya ;
Yu, Pauline Chang ;
Lloyd, Carla Ramas ;
Chen, Bertha H. ;
Desser, Terry S. ;
Maturen, Katherine E. .
JOURNAL OF ULTRASOUND IN MEDICINE, 2016, 35 (11) :2381-2387
[26]   Endometrial polyp or neoplasia? A case-control study in women with polyps at ultrasound [J].
Gambadauro, P. ;
Martinez-Maestre, M. A. ;
Schneider, J. ;
Torrejon, R. .
CLIMACTERIC, 2015, 18 (03) :399-404
[27]   Endometrial polyps and the development of type II form of endometrial carcinoma [J].
Maia, H ;
Maltez, A ;
Oliveira, M ;
Fahel, P ;
Coutinho, EM .
CURRENT KNOWLEDGE IN REPRODUCTIVE MEDICINE, 2000, 1206 :31-37
[28]   The clinical significance of small endometrial polyps [J].
Hamani, Yaron ;
Eldar, Ido ;
Sela, Hen Y. ;
Voss, Ernst ;
Hairnov-Kochman, Ronit .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2013, 170 (02) :497-500
[29]   When Should Endometrial Polyps Be Treated? [J].
Stephanie Cruz Lee ;
Brent Seibel ;
Andrew M. Kaunitz .
Current Obstetrics and Gynecology Reports, 2012, 1 (2) :89-93
[30]   Treatment of endometrial polyps: a systematic review [J].
Lieng, Marit ;
Istre, Olav ;
Qvigstad, Erik .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2010, 89 (08) :992-1002