Hysteroscopic resection of symptomatic and asymptomatic endometrial polyps.
OBJECTIVE
To estimate the occurrence of malignancy and atypical hyperplasia in endometrial polyps in patients with and without symptoms.


METHODS
Retrospective registration of all patients who underwent hysteroscopic resection of endometrial polyps. Age, menopausal status, presence or absence of symptoms, any use of hormonal medication, as well as histologic diagnosis, complications, and eventual repeated surgery were documented (Canadian Task Force classification II-3).


METHODS
Ullevaal University Hospital, Department of Gynecology.


METHODS
All patients who underwent hysteroscopic resection of an endometrial polyp in our department from January 1, 2001 through March 1, 2005.


METHODS
Hysteroscopic resection of endometrial polyps.


RESULTS
Four hundred eleven patients were included. One hundred twenty-nine patients (31.4%) had no symptoms. The prevalence of malignancy or atypical hyperplasia was 3.2% in women with symptoms and 3.9% in those without symptoms.


CONCLUSIONS
The prevalence of malignancy and atypical hyperplasia was found to be relatively high, indicating that symptomatic, as well as asymptomatic, endometrial polyps should be removed.
Lieng
Marit
M
Department of Gynecology and Obstetrics, Ullevaal University Hospital, Oslo, Norway. m.lieng@online.no
Qvigstad
Erik
E
Sandvik
Leiv
L
Jørgensen
Hilde
H
Langebrekke
Anton
A
Istre
Olav
O
D004714:Endometrial Hyperplasia / Q000175:diagnosis / Q000453:epidemiology*; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D004717:Endometrium / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008593:Menopause; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D016896:Treatment Outcome