endometrial polyp.pptx for medical students

Polys

1. Endometrial polyp By shahid shinwari

2. 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 Infertility Hormone therapies –post menopausal patients Rare genetic disease

4. Clinical features Bleeding Anemia pain

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

6. Continue COLORFLOW DOPPLER Saline infusion sonography hysteroscopic guided biopsy identification of a polyp at hysteroscopy polyps have a reddish appearance Similar to the surrounding Endometrium

7. CONTIUNE 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

8. MANAGEMENT Management of endometrial polyp might vary according to age and Size Symptoms and Fertility status THE polyp need to be remove for two reasons 1 to eliminate the cause of bleeding 2 to obtain a histological report to ensure that it is not malignant expactant managment about 25 percent

9. HYSTEROSCOPIC RESECTION Hysteroscopic polypectomy is effective and safe as both a diagnostic and therapeutic intervention

10. ENDOMETRIAL POLYP AND CANCER RISK HYPERPLASTIC or malignant foci within a polyp are infrequent Asymptomatic women 0.1-1.5 percent Women with postmenopusal bleeding 1-4.5 percent

11. thaNKs By shahid shinwari