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.
| Original language | English |
|---|---|
| Pages (from-to) | 1328-1330 |
| Number of pages | 3 |
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 195 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Nov 2006 |
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Keywords
- Atypical endometrial polyp
- Hysteroscopic diagnosis
- Hysteroscopic resection
ASJC Scopus subject areas
- Medicine(all)
- Obstetrics and Gynaecology
Cite this
Is resectoscopic treatment of atypical endometrial polyps a safe option? / Scrimin, Federica; Mangino, Francesco P.; Wiesenfeld, Uri; Candiotto, Alberto; Guaschino, Secondo.
In: American Journal of Obstetrics and Gynecology, Vol. 195, No. 5, 11.2006, p. 1328-1330.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Is resectoscopic treatment of atypical endometrial polyps a safe option?
AU - Scrimin, Federica
AU - Mangino, Francesco P.
AU - Wiesenfeld, Uri
AU - Candiotto, Alberto
AU - Guaschino, Secondo
PY - 2006/11
Y1 - 2006/11
N2 - 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.
AB - 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.
KW - Atypical endometrial polyp
KW - Hysteroscopic diagnosis
KW - Hysteroscopic resection
UR - http://www.scopus.com/inward/record.url?scp=33750377036&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33750377036&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2006.03.066
DO - 10.1016/j.ajog.2006.03.066
M3 - Article
C2 - 16643815
AN - SCOPUS:33750377036
VL - 195
SP - 1328
EP - 1330
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 5
ER -