Endometrial polyp

Endometrial polyp

1. ENDOMETRIAL POLYP BY: DR. SANA LODHI

2. ENDOMETRIAL POLYP Definition Endometrial polyps are discrete outgrowths of the endometrium containing a variable amount of glandular tissue,stroma and blood vessels.

3. RISK FACTORS: Age: 45-55yrs Obesity Tamoxifen Luteal Insufficiency Hormone therapies in post-menopausal patients Rare genetic diseases, including the Lynch syndrome (a.k.a.  HNPCC ) or the Cowden’s disease Infertility

4. CLINICAL FEATURES

5. DIAGNOSIS IMAGING: TVUS an endometrial polyp typically appears as a hyperechoic lesion with regular contours within the uterine lumen, surrounded by a thin hyperechoic halo Colorflow Doppler Saline Infusion Sonography Hysteroscopic guided biopsy Identification of a polyp at hysteroscopy Polyps have a reddish appearance similar to the surrounding endometrium are soft and can be indented with the tip of the optic (unlike a fibroid) move with the movement of liquid distending solution (unlike a fibroid).

6. MANAGEMENT Management of endometrial polyp might vary according to age & size,symptoms and fertility status The polyp needs to be removed for 2 reasons: 1- to eliminate the cause of bleeding 2- to obtain a histological report to ensure that it is not malignant Expectant Management : About 25 % of all endometrial polyps regress spontaneously.Small polyps (< 10 mm) are more likely to regress spontaneously compared to larger polyps.

7. Hysteroscopic Resection Hysteroscopic polypectomy is effective and safe as both a diagnostic and therapeutic intervention

8. Endometrial polyp & Cancer risk Hyperplastic or malignant foci within a polyp are infrequent . Asymtomatic women: 0.1-1.5% W omen with postmenopausal bleeding: 1 – 4.5%

9. THANKS