Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy
Main Author: | |
---|---|
Publication Date: | 2014 |
Other Authors: | , , , , , |
Format: | Article |
Language: | eng |
Source: | Einstein (São Paulo) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000100005 |
Summary: | Objective : To evaluate the incidence of premalignant lesions and cancer in endometrial polyps, in patients undergoing hysteroscopic polypectomy. Methods : The results of 1,020 pathological examinations of patients submitted to hysteroscopic polypectomy were analyzed, as well as their diagnostic and surgical hysteroscopy findings. As to their menstrual status, 295 (28.9%) patients were in menacme. Of the total, 193 (65.4%) presented abnormal uterine bleeding, and 102 (34.6%) were asymptomatic with altered endometrial echo on transvaginal ultrasound. Out of 725 (71.1%) postmenopausal patients, 171 (23.6%) were symptomatic (abnormal uterine bleeding), and 554 (76.4%) were asymptomatic with endometrial echo >5.0mm. Results : Twenty-one (2.0%) patients presented premalignant lesions in the polyps, 13 had simple glandular hyperplasia, of which 5 had no atypia, and eight presented atypia. Eight polyps presented focal area of complex hyperplasia: 4 with atypia and 4 without lesions. Cancer was diagnosed in 5 (0.5%) polyps. Of the 21 polyps that harbored premalignant lesions, 12 were interpreted as benign in diagnostic and surgical hysteroscopy. Of the polyps with cancer, 4 were also histeroscopically interpreted as normal. Conclusion : Symptomatic polyps in menacme and in all postmenopausal women should be resected and submitted to histopathological examination, since they may have a benign aspect, even when harboring areas of cellular atypia or cancer. |
id |
IIEPAE-1_6d05145bc0744a96ac4cce9d3e587acd |
---|---|
oai_identifier_str |
oai:scielo:S1679-45082014000100005 |
network_acronym_str |
IIEPAE-1 |
network_name_str |
Einstein (São Paulo) |
repository_id_str |
|
spelling |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomyHisteroscopyEndometrial neoplasmsPolyps/surgery Objective : To evaluate the incidence of premalignant lesions and cancer in endometrial polyps, in patients undergoing hysteroscopic polypectomy. Methods : The results of 1,020 pathological examinations of patients submitted to hysteroscopic polypectomy were analyzed, as well as their diagnostic and surgical hysteroscopy findings. As to their menstrual status, 295 (28.9%) patients were in menacme. Of the total, 193 (65.4%) presented abnormal uterine bleeding, and 102 (34.6%) were asymptomatic with altered endometrial echo on transvaginal ultrasound. Out of 725 (71.1%) postmenopausal patients, 171 (23.6%) were symptomatic (abnormal uterine bleeding), and 554 (76.4%) were asymptomatic with endometrial echo >5.0mm. Results : Twenty-one (2.0%) patients presented premalignant lesions in the polyps, 13 had simple glandular hyperplasia, of which 5 had no atypia, and eight presented atypia. Eight polyps presented focal area of complex hyperplasia: 4 with atypia and 4 without lesions. Cancer was diagnosed in 5 (0.5%) polyps. Of the 21 polyps that harbored premalignant lesions, 12 were interpreted as benign in diagnostic and surgical hysteroscopy. Of the polyps with cancer, 4 were also histeroscopically interpreted as normal. Conclusion : Symptomatic polyps in menacme and in all postmenopausal women should be resected and submitted to histopathological examination, since they may have a benign aspect, even when harboring areas of cellular atypia or cancer.Instituto Israelita de Ensino e Pesquisa Albert Einstein2014-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000100005einstein (São Paulo) v.12 n.1 2014reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082014AO2764info:eu-repo/semantics/openAccessLenci,Marco AntonioNascimento,Vanessa Alessandra Lui doGrandini,Ana BeatrizFahmy,Walid MakinDepes,Daniella de BatistaBaracat,Fausto FarahLopes,Reginaldo Guedes Coelhoeng2016-04-20T00:00:00Zoai:scielo:S1679-45082014000100005Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2016-04-20T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy |
title |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy |
spellingShingle |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy Lenci,Marco Antonio Histeroscopy Endometrial neoplasms Polyps/surgery |
title_short |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy |
title_full |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy |
title_fullStr |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy |
title_full_unstemmed |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy |
title_sort |
Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy |
author |
Lenci,Marco Antonio |
author_facet |
Lenci,Marco Antonio Nascimento,Vanessa Alessandra Lui do Grandini,Ana Beatriz Fahmy,Walid Makin Depes,Daniella de Batista Baracat,Fausto Farah Lopes,Reginaldo Guedes Coelho |
author_role |
author |
author2 |
Nascimento,Vanessa Alessandra Lui do Grandini,Ana Beatriz Fahmy,Walid Makin Depes,Daniella de Batista Baracat,Fausto Farah Lopes,Reginaldo Guedes Coelho |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Lenci,Marco Antonio Nascimento,Vanessa Alessandra Lui do Grandini,Ana Beatriz Fahmy,Walid Makin Depes,Daniella de Batista Baracat,Fausto Farah Lopes,Reginaldo Guedes Coelho |
dc.subject.por.fl_str_mv |
Histeroscopy Endometrial neoplasms Polyps/surgery |
topic |
Histeroscopy Endometrial neoplasms Polyps/surgery |
description |
Objective : To evaluate the incidence of premalignant lesions and cancer in endometrial polyps, in patients undergoing hysteroscopic polypectomy. Methods : The results of 1,020 pathological examinations of patients submitted to hysteroscopic polypectomy were analyzed, as well as their diagnostic and surgical hysteroscopy findings. As to their menstrual status, 295 (28.9%) patients were in menacme. Of the total, 193 (65.4%) presented abnormal uterine bleeding, and 102 (34.6%) were asymptomatic with altered endometrial echo on transvaginal ultrasound. Out of 725 (71.1%) postmenopausal patients, 171 (23.6%) were symptomatic (abnormal uterine bleeding), and 554 (76.4%) were asymptomatic with endometrial echo >5.0mm. Results : Twenty-one (2.0%) patients presented premalignant lesions in the polyps, 13 had simple glandular hyperplasia, of which 5 had no atypia, and eight presented atypia. Eight polyps presented focal area of complex hyperplasia: 4 with atypia and 4 without lesions. Cancer was diagnosed in 5 (0.5%) polyps. Of the 21 polyps that harbored premalignant lesions, 12 were interpreted as benign in diagnostic and surgical hysteroscopy. Of the polyps with cancer, 4 were also histeroscopically interpreted as normal. Conclusion : Symptomatic polyps in menacme and in all postmenopausal women should be resected and submitted to histopathological examination, since they may have a benign aspect, even when harboring areas of cellular atypia or cancer. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000100005 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000100005 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082014AO2764 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.12 n.1 2014 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
_version_ |
1752129907136135168 |