Polypectomy and endometrial resection in postmenopausal patients.
OBJECTIVE
To evaluate the therapeutic efficacy of polypectomy associated with endometrial resection for the treatment of polyps in postmenopausal women.


METHODS
Prospective study (Canadian Task Force classification II-2).


METHODS
Private urban hospital with facilities for endoscopic surgery.


METHODS
Sixty-six women with endometrial polyps.


METHODS
Sixty-four of the 66 patients underwent polypectomy followed by endometrial resection. One patient had hysterectomy because endometrial biopsy showed serous papillary carcinoma.


RESULTS
No major complications were associated with the procedure. Histopathology showed hyperplasia in most polyps. One patient had a papillary uterine carcinoma in the polyp that was not detected by preoperative endometrial biopsy. The women were followed with transvaginal sonography for 1 year after surgery.


CONCLUSIONS
Polypectomy followed by endometrial resection is a very low-risk procedure for postmenopausal patients. There was no recurrence after the first year in women who completed follow-up.
Maia
H
H
Endoscopy Unit, CePARH, Rua Caetano Moura, 35, Federacao, Salvador, 40210-341 Bahia, Brazil.
Calmon
L C
LC
Marques
D
D
Coelho
J C
JC
Oliveira
M
M
Coutinho
E M
EM
D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D016889:Endometrial Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004717:Endometrium / Q000601:surgery; D019160:Endosonography; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011127:Polyps / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D017698:Postmenopause; D011446:Prospective Studies; D016896:Treatment Outcome