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Savelli, L., De Iaco, P., Santini, D., Rosati, F., Ghi, T., Pignotti, E. and Bovicelli, L. (2003) Histopatologic Features and Risk Factors for Benignity, Hyperplasia and Cancer in Endometrial Polyps. American Journal of Obstetrics & Gynecology, 188, 927-931. http://dx.doi.org/10.1067/mob.2003.247

has been cited by the following article:

• TITLE: Endometrial Polyps: Which Patients Should Be Selected for Hysteroscopic Surgery?—A Study Using Data from the Swedish National Quality Registry of Gynecological Surgery

  AUTHORS: Stefan Zacharias, Mats Löfgren

  KEYWORDS: Endometrial Polyp, Menopause, Malignancy, Gynecological Surgery, Hysteroscopy

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.5 No.11, September 18, 2015

  ABSTRACT: Objective: To illuminate the findings after hysteroscopic surgery of endometrial polyps. Method: Data were extracted from The Swedish National Quality Registry of Gynecological Surgery. Endometrial polyps were identified in 1934 cases in a total of 4512 hysteroscopic operations. Data on all hysteroscopic procedures registered as surgery of endometrial polyps between 1997 and January 2013 were analyzed with logistic regression analysis and effect size was calculated. Main outcome measure was malignancy in endometrial polyps. Results: The most frequently reported symptoms of endometrial polyps were: postmenopausal bleeding, metrorrhagia, pain, and infertility. Among the registered biopsies, there were: 30 malignancies (1.8%), and 41 dysplasias (2.5%). The remaining polyps were benign. Only 1/30 cancer patients were p p = 0.07). All cancer patients at age ≥52 had postmenopausal bleeding. The p = 0.014), controlling for age as a confounding factor. Conclusion: Hysteroscopic surgery should be recommended for women with postmenopausal bleeding and presence of endometrial polyps according to the findings of this study. The results further indicate a low risk of malignancy in premenopausal women