April 2010 · Vol. 22, No. 04UPDATE: MINIMALLY INVASIVE SURGERY
All about endometrial polyps: how to assess them, what they signify, their malignant potential, and what to do about them
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Fast Track
Among 31 women who had asymptomatic endometrial polyps, the regression rate at 1 year was 27%
Menopausal status, abnormal uterine bleeding, diabetes, obesity, hypertension, and size larger than 1 cm were all associated with malignancy in women who had endometrial polyps
Postmenopausal women who had polyps heavier than 1 g were 3.6 times more likely to have atypia than those who had lighter polyps
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Amy
Garcia,
MDDr. Garcia is Director of the Center for Women’s Surgery and Assistant Professor, Division of Urogynecology, University of New Mexico School of Medicine, Albuquerque, NM. She serves on the OBG Management Board of Editors.
Dr. Garcia reports that she is a consultant to Conceptus, Inc., and Minerva Surgical.
Endometrial polyps are a relatively common pathology, occurring in 24% to 41% of women who have abnormal bleeding, and in about 10% of asymptomatic women.1,2 Endometrial polyps may be associated with leiomyomas in women who have abnormal bleeding.1-3
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