Endometrial polyps

• Published in: Romanian journal of morphology and embryology Vol. 63; no. 2; pp. 323 - 334
• Main Authors: Berceanu, Costin, Cernea, Nicolae, Căpitănescu, Răzvan Grigoraş, Comănescu, Alexandru Cristian, Paitici, Ştefan, Rotar, Ioana Cristina, Bohîlţea, Roxana Elena, Olinca, Maria Victoria
• Format: Journal Article
• Language: English
• Published: Romania Academy of Medical Sciences, Romanian Academy Publishing House, Bucharest 01-04-2022
• Subjects: Endometrial Neoplasms - pathology; Endometrium - pathology; Female; Humans; Hypertension - pathology; Hysterectomy; Hysteroscopy - methods; Polyps - pathology; Pregnancy; Review; Uterine Neoplasms - pathology
• ISSN: 1220-0522; 2066-8279
• DOI: 10.47162/RJME.63.2.04

Endometrial polyps (EPs) are a frequent gynecological condition. EPs often arise in the common womanly patients and are appraised to be about 25%. Advancing age, hyperestrogenism, hypertension, and Tamoxifen use are acknowledged as ordinary risk elements for the development of EP. The etiopathogenesis of EP is not accurately elucidated, but certain considerations such as diabetes mellitus, hormonal factors or arterial hypertension are considered to perform a significant contribution. The diagnosis of EPs is essentially by imaging. Transvaginal ultrasound is the primary investigation in EPs. Hysteroscopic resection is now the "gold standard" to treat to treat this disease. Hysterectomy is the definitive treatment for EPs, but it requires a judicious indication and an adequate counseling of the patient. Currently, a certain histological pattern is found in different sequences in EPs. Even if the vast majority EPs are benign, they may reach hyperplastic, with malignant alteration. The purpose of this pictorial review is the integrated approach to this type of abnormal endometrial proliferation from the perspective of natural history, diagnosis, management, morphological aspects, risk of malignancy, recurrence and last but not least, clinical outcome.