Is resectoscopic treatment of atypical endometrial polyps a safe option?

American Journal of Obstetrics and Gynecology
Federica ScriminSecondo Guaschino

Abstract

This study was undertaken to evaluate the long-term efficacy and prognosis of hysteroscopic resection and coagulation of the polyp base of endometrial polyps with focal atypia in postmenopausal women. In this observational noncomparative study, conservative treatment was offered to 16 patients, with high anesthesiologic risk, who had endometrial polyps with focal atypia and a surrounding atrophic endometrium. To confirm the focality of the lesion, the polyps were analyzed separately from their bases. Patients with atypia in the polyp base were excluded. After 5 years of follow-up, 13 patients are disease free, 2 underwent vaginal hysterectomy and annessiectomy due to other causes, and 1 died for cardiac disorders. Adenomatous polyps with atypia can be treated resectoscopically if the treatment is associated with an accurate histologic examination of the polyp base and its eventual involvement and the features of the remaining uterine mucosa. A thorough follow-up is recommended. Studies on wider casuistries of patients are needed.

References

Nov 30, 1999·Acta Obstetricia Et Gynecologica Scandinavica·R OrvietoA Neri
Feb 16, 2000·Obstetrics and Gynecology·M S BroderS J Bernstein
Feb 15, 2001·American Journal of Obstetrics and Gynecology·G GebauerN Lang
Apr 25, 2003·American Journal of Obstetrics and Gynecology·Luca SavelliLuciano Bovicelli
Oct 21, 1961·JAMA : the Journal of the American Medical Association·R D DRIPPSJ E ECKENHOFF

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Citations

Oct 22, 2008·American Journal of Obstetrics and Gynecology·Federica ScriminSecondo Guaschino
Aug 9, 2016·Obstetrics and Gynecology·Simone R de RijkSjors F Coppus
Mar 7, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·I S M JacobsN van Hanegem
Oct 30, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Latife Atasoy KarakasAli Ayhan

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