POLYPS Medical Surgical Nursing presentation

Polyps

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

3. TYPES
•Sessile polyps
They lie flat against the surface of the membrane
•Pediculate polyp
They aremushroom-like tissue growths that attach to surface of the membrane by a long, thin stalk.

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

5. CLINICAL FEATURES
Bleeding
Anaemia
Pain

6. DIAGNOSIS
•Imaging
•TVUS(Trans Vaginal Ultrasound)
•Colorflow Doppler
•Saline Infusion Sonography
•hysteroscopy

7. 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.
Endometrial polyp & Cancer Risk
oHyperplastic or malignant foci within a polyp are infrequent.
oAsymptomatic women: 0.1-1.5%
oWomen with postmenopausal bleeding: 1 -4.5%