Is resectoscopic treatment of atypical endometrial polyps a safe option?

Federica Scrimin; Francesco Paolo Mangino; Francesco P Mangino; Uri Wiesenfeld; Alberto Candiotto; Secondo Guaschino

doi:10.1016/j.ajog.2006.03.066

Is resectoscopic treatment of atypical endometrial polyps a safe option?

Federica Scrimin, Francesco Paolo Mangino, Francesco P Mangino, Uri Wiesenfeld, Alberto Candiotto, Secondo Guaschino

American journal of obstetrics and gynecology · 2006 · vol. 195(5) , pp. 1328–1330 · doi:10.1016/j.ajog.2006.03.066 · PMID:16643815 · W2155769337

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This observational study of 16 postmenopausal women with atypical endometrial polyps found that hysteroscopic resection is a safe long-term option when the polyp base lacks atypia and undergoes accurate histologic examination.

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Abstract

OBJECTIVE: 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. STUDY DESIGN: 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. RESULTS: 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. CONCLUSION: 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.

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MeSH descriptors

Endometrium Endometrium Hysteroscopy Polyps Postmenopause Uterine Neoplasms Atrophy Female Follow-Up Studies Humans Hysteroscopy Polyps Safety Treatment Outcome Uterine Neoplasms

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Too few in-corpus citations on either side for a chart; here are the lists.

Cites (1)

Hysterectomy 2002

References (14)

Hysterectomy via openalex
doi:10.1002/1097-0142(19820615)49:12<2547::aid-cncr2820491224>3.0.co;2-0 via openalex
W2405144660 via openalex
W2411439374 via openalex
W2417430527 via openalex
W2992907228 via openalex
doi:10.1016/s0029-7844(99)00519-0 via openalex
doi:10.1067/mob.2001.108332 via openalex
doi:10.1080/j.1600-0412.1999.781009.x via openalex
doi:10.1002/1097-0142(19850715)56:2<403::aid-cncr2820560233>3.0.co;2-x via openalex
doi:10.1016/s0849-5831(16)31463-x via openalex
doi:10.1034/j.1600-0412.1999.781009.x via openalex
doi:10.1001/jama.1961.03040420001001 via openalex
doi:10.1067/mob.2003.247 via openalex

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[1] Hysterectomy 2002