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Klinične in histološke značilnosti endometrijskih polipov = Clinic and histologic characteristics of endometrial polypsVerdnik Golob, BrankaBackground The prevalence of endometrial polyps (EP) is high (25%), but the risk of malignancy low. Women are often asymptomatic. More EP are being diagnosed with the use of transvaginal ultrasound ... scanning. The purpose of this study was to estimate the incidence of symptomatic and asymptomatic EP and determine whether clinical risk factors and symptoms can predict its histopathological characteristics. Methods Retrospective study of 271 women with removed EP in the years 2001-2006 was done. 53.1% patients underwent operative histeroscopy, 46.9% uterine curettage. Clinical data were obtained from patients' medical reports. PS were subdivided groups as symptomatic A andasymptomatic B; benign (hyperplastic without atypia, cancerous). Statistical analysis was performed. Results In 185 patients (68.3%) EP were symptomatic, in 86 (31.7%) asymptomatic. In group A 2 hyperplastic EP without atypia (0.74%), one hyperplastic EP with atypia (0.37%) and one cancerous EP (0.37%) were found. In group B all were benign. Patient age, menopusal status (p < 0.01, negative correlation) and hypertension (p < 0.05, negative correltion) were associated with symptoms significantly. Hypertension showed asignificant association with malignant EP (p < 0.05). Conclusions The incidence of malignancy is low. Symptoms were correlated with age, in postmenopausal women more likely asymptomatic and characteristically related to hypertension which is an important risk factor with malignant degeneration of EP. Asymptomatic EP were all benign but not significantly. Hystopathology remains the gold standard. Its removal (hysteroscopic) would be a suitable rationale, especially in hypertensive women.Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 75, št. 12, 2006, str. 823-827)Type of material - article, component partPublish date - 2006Language - slovenianCOBISS.SI-ID - 22408665
Author
Verdnik Golob, Branka
Topics
Endometrial Neoplasms |
Pathology |
Therapy |
Polyps |
Uterine Hemorrhage |
Hysteroscopy |
Risk Factors |
Endometrijske novotvorbe |
Histeroskopija |
Maternica, krvavitev |
Polipi |
Dejavniki tveganja
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source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 75, št. 12, 2006, str. 823-827)
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