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