Endometrial polyps

Vol. 63 No. 2, 2022

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Costin Berceanu, Nicolae Cernea, Razvan Grigoras Capitanescu, Alexandru Cristian Comanescu, Stefan Paitici, Ioana Cristina Rotar, Roxana Elena Bohiltea, Maria Victoria Olinca

Endometrial polyps (EPs) are a frequent gynecological condition. EPs often arise in the common womanly patients and are appraised to be about 25%. Advancing age, hyperestrogenism, hypertension, and Tamoxifen use are acknowledged as ordinary risk elements for the development of EP. The etiopathogenesis of EP is not accurately elucidated, but certain considerations such as diabetes mellitus, hormonal factors or arterial hypertension are considered to perform a significant contribution. The diagnosis of EPs is essentially by imaging. Transvaginal ultrasound is the primary investigation in EPs. Hysteroscopic resection is now the gold standard to treat to treat this disease. Hysterectomy is the definitive treatment for EPs, but it requires a judicious indication and an adequate counseling of the patient. Currently, a certain histological pattern is found in different sequences in EPs. Even if the vast majority EPs are benign, they may reach hyperplastic, with malignant alteration. The purpose of this pictorial review is the integrated approach to this type of abnormal endometrial proliferation from the perspective of natural history, diagnosis, management, morphological aspects, risk of malignancy, recurrence and last but not least, clinical outcome.

Corresponding author: Razvan Grigoras Capitanescu, Lecturer, MD, PhD; e-mail: razvancapitanescu@gmail.com; Stefan Paitici, Teaching Assistant, MD, PhD; e-mail: stefanppaitici@gmail.com

DOI: 10.47162/RJME.63.2.04 Download PDF
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