Ultrasound finding of endometrial polyp and factors increasing risk of malignancy

• Published in: Ceská gynekologie Vol. 89; no. 1; p. 44
• Main Authors: Koblížková, M, Bretová, P, Felsinger, M, Minář, L, Bednaříková, M, Weinberger, V
• Format: Journal Article
• Language: English
• Published: Czech Republic 01-01-2024
• Subjects: Endometrial Neoplasms - diagnostic imaging; Endometrial Neoplasms - etiology; Endometrium - pathology; Female; Humans; Hysteroscopy; Polyps - diagnostic imaging; Polyps - pathology; Pregnancy; Risk Factors; Uterine Diseases - complications; Uterine Hemorrhage - etiology; Uterine Neoplasms - pathology; risk factors; endometrial cancer; endometrial polyp; polyp size; Endometrial carcinoma; abnormal uterine bleeding; tamoxifen; doppler ultrasound of uterine artery
• ISSN: 1210-7832
• DOI: 10.48095/cccg202444

This article presents a comprehensive review of factors that increase the risk of malignancy in ultrasound findings of an endometrial polyp. We collected original studies, reviews, and meta-analyses that dealt with the topic of endometrial polyps and the risk of developing endometrial cancer. Each presumed risk factor was analysed individually. According to searched studies, abnormal uterine bleeding, old age, and body mass index are valid risk factors for developing endometrial cancer in endometrial polyps. Lynch syndrome patients are also in a high-risk group for endometrial cancer. On the other hand, the number of polyps, their size, diabetes mellitus, hypertension, and positive family history are factors with inconclusive results. There are either not enough data or different results among several studies.