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Endometrial Polyp Size and the Risk of Malignancy in Asymptomatic Postmenopausal Women.

Abstract

OBJECTIVE

The appropriate management of endometrial polyps in asymptomatic postmenopausal patients remains controversial. The aim of the study was to evaluate the relationship between endometrial polyp size and malignancy risk among asymptomatic postmenopausal women.

METHODS

This observational retrospective study investigated 472 postmenopausal asymptomatic women who underwent hysteroscopic polypectomy between 2010 and 2014 (Canadian Task Force Classification II-3).

RESULTS

Of the 472 women, premalignant and malignant lesions were found in 11 (2.33%) cases; four (0.84%) had endometrial carcinoma, and seven (1.49%) had atypical endometrial hyperplasia. The incidence of premalignant or malignant lesions among various cut-offs of polyp size (10, 15, 20 mm) was not significantly different.

CONCLUSION

In the current series no significant risk factor for malignancy was found among different cut-offs of polyp size.

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  • Authors+Show Affiliations

    ,

    Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel. Electronic address: enamazov@gmail.com.

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    Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel.

    ,

    Department of Obstetrics and Gynecology, Kaplan Medical Center, Faculty of Health Sciences, Hebrew University, Rehovot, Israel.

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    Department of Obstetrics and Gynecology, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Beer-Sheva, Israel.

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    Department of Obstetrics and Gynecology, Kaplan Medical Center, Faculty of Health Sciences, Hebrew University, Rehovot, Israel.

    ,

    Department of Chemical Engineering, Sami Shamoon College of Engineering, Beer-Sheva, Israel.

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    Department of Obstetrics and Gynecology, Kaplan Medical Center, Faculty of Health Sciences, Hebrew University, Rehovot, Israel.

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    Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel.

    Department of Obstetrics and Gynecology, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Beer-Sheva, Israel.

    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31230660

    Citation

    Namazov, Ahmet, et al. "Endometrial Polyp Size and the Risk of Malignancy in Asymptomatic Postmenopausal Women." Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstetrique Et Gynecologie Du Canada : JOGC, vol. 41, no. 7, 2019, pp. 912-915.
    Namazov A, Gemer O, Ben-Arie A, et al. Endometrial Polyp Size and the Risk of Malignancy in Asymptomatic Postmenopausal Women. J Obstet Gynaecol Can. 2019;41(7):912-915.
    Namazov, A., Gemer, O., Ben-Arie, A., Israeli, O., Bart, O., Saphier, O., ... Silberstein, T. (2019). Endometrial Polyp Size and the Risk of Malignancy in Asymptomatic Postmenopausal Women. Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstetrique Et Gynecologie Du Canada : JOGC, 41(7), pp. 912-915. doi:10.1016/j.jogc.2018.07.019.
    Namazov A, et al. Endometrial Polyp Size and the Risk of Malignancy in Asymptomatic Postmenopausal Women. J Obstet Gynaecol Can. 2019;41(7):912-915. PubMed PMID: 31230660.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Endometrial Polyp Size and the Risk of Malignancy in Asymptomatic Postmenopausal Women. AU - Namazov,Ahmet, AU - Gemer,Ofer, AU - Ben-Arie,Alon, AU - Israeli,Osnat, AU - Bart,Oshrit, AU - Saphier,Oshra, AU - Mahler,Neta, AU - Kapustian,Viki, AU - Silberstein,Tali, Y1 - 2018/10/27/ PY - 2018/06/21/received PY - 2018/07/28/revised PY - 2018/07/29/accepted PY - 2019/6/25/entrez KW - Endometrial polyp KW - asymptomatic KW - malignancy KW - postmenopausal SP - 912 EP - 915 JF - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC JO - J Obstet Gynaecol Can VL - 41 IS - 7 N2 - OBJECTIVE: The appropriate management of endometrial polyps in asymptomatic postmenopausal patients remains controversial. The aim of the study was to evaluate the relationship between endometrial polyp size and malignancy risk among asymptomatic postmenopausal women. METHODS: This observational retrospective study investigated 472 postmenopausal asymptomatic women who underwent hysteroscopic polypectomy between 2010 and 2014 (Canadian Task Force Classification II-3). RESULTS: Of the 472 women, premalignant and malignant lesions were found in 11 (2.33%) cases; four (0.84%) had endometrial carcinoma, and seven (1.49%) had atypical endometrial hyperplasia. The incidence of premalignant or malignant lesions among various cut-offs of polyp size (10, 15, 20 mm) was not significantly different. CONCLUSION: In the current series no significant risk factor for malignancy was found among different cut-offs of polyp size. SN - 1701-2163 UR - https://www.unboundmedicine.com/medline/citation/31230660/Endometrial_Polyp_Size_and_the_Risk_of_Malignancy_in_Asymptomatic_Postmenopausal_Women L2 - https://linkinghub.elsevier.com/retrieve/pii/S1701-2163(18)30632-7 DB - PRIME DP - Unbound Medicine ER -