Is resectoscopic treatment of atypical endometrial polyps a safe option?
| Autor: | Uri Wiesenfeld, Secondo Guaschino, Alberto Candiotto, Francesco Paolo Mangino, Federica Scrimin |
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| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Disease free Hysteroscopy Endometrium Hysteroscopic resection Lesion Polyps otorhinolaryngologic diseases medicine Atypia Endometrial Polyp Humans neoplasms Postmenopausal women medicine.diagnostic_test business.industry Obstetrics and Gynecology medicine.disease digestive system diseases Surgery Postmenopause Treatment Outcome surgical procedures operative medicine.anatomical_structure Uterine Neoplasms Female Atrophy Safety medicine.symptom business Follow-Up Studies |
| Zdroj: | American Journal of Obstetrics and Gynecology. 195:1328-1330 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/j.ajog.2006.03.066 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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