Story of a Giant Endometrial Polyp in Asymptomatic Postmenopausal Female
Autor: | Nirmal Bhargava, Jahnavi Meena, Rahul Manchanda, Priyanka Mahawar, Sudhir Kulkarni |
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Rok vydání: | 2017 |
Předmět: |
uterine polyp
medicine.medical_specialty medicine.medical_treatment Clinical Biochemistry endometrial overgrowth lcsh:Medicine Obstetrics and Gynaecology Section 03 medical and health sciences Uterine polyps 0302 clinical medicine Endometrial Polyp medicine Atypia Vaginal bleeding Pelvic examination Gynecology 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry lcsh:R General Medicine medicine.disease Polypectomy medicine.anatomical_structure Hysteroscopy 030220 oncology & carcinogenesis hysteroscopic polyp excision Uterine cavity medicine.symptom business |
Zdroj: | Journal of Clinical and Diagnostic Research, Vol 11, Iss 3, Pp QD06-QD07 (2017) |
ISSN: | 2249-782X |
Popis: | Endometrial polyps are localized overgrowth of endometrial glands and stoma through the uterine cavity. They are associated with postmenopausal bleeding, infertility and menorrhagia and are affected by unbalanced oestrogen therapy or increased frequency of tamoxifen exposure. We report a case of giant endometrial polyp in postmenopausal female without vaginal bleeding and hormone or drug use. A 65-year-old, postmenopausal female P3L2 with hypertension and Diabetes Mellitus (DM) came for routine health check-up. Her physical examination was normal. Pelvic examination uterus was multiparous sized, mid positioned and bilateral fornices were free. Patient was planned for hysteroscopic guided biopsy as her Ultrasonography (USG) showed endometrial thickness to be 12.3 mm. On hysteroscopy, there was hyperplastic endometrium with large endometrial polyp of size 8.5 cm. Polypectomy was done and the same was sent for histopathological evaluation. Report showed cystic hyperplasia without atypia. To summarize, postmenopausal female will not always present with symptoms and USG can also quite frequently miss the diagnosis, so proper evaluation is needed using hysteroscopy which is gold standard for diagnosis and treatment of endometrial polyp. |
Databáze: | OpenAIRE |
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