Related Experiment Video
Updated: Oct 17, 2026
Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
The risk of premalignant and malignant pathology in endometrial polyps
S H Bakour1, K S Khan, J K Gupta
1Birmingham Minimal Access Surgical Training Centre, Academic Department of Obstetrics and Gynaecology, University of Birmingham, UK.
Objective:
To evaluate the risk of premalignant and malignant pathology among endometrial polyps.
Design:
Prospective cohort study.
Setting:
Minimal Access Surgical Training (MAST) center in a large teaching hospital.
Methods:
Among 248 patients seen in outpatient hysteroscopy clinic (1996-97), 62 had endometrial polyps. All patients had endometrial sampling for histological assessment. To determine the magnitude of malignant potential among polyps, we compared the pathological findings in polyps (cases) with non-polypoidal specimens (controls).
Results:
Out of 62 polyps, histologically 53 (85.5%) were benign, seven (11.3%) had hyperplasia, and two (3.2%) were associated with malignancy. Hyperplasia was more frequent in endometrial specimens with polyps than in those without (11.3% vs 4.3%, p=0.04), but the incidence of carcinoma in the two groups was the same (3.2% vs 3.2%, p= 1.0).
Conclusion:
In abnormal uterine bleeding, hyperplasia was, but cancer was not, more common in women with endometrial polyps compared to those without polyps.
Related Concept Videos
01:24Disorders of the Female Reproductive System
01:24Cellular Adaptation IV: Dysplasia and Metaplasia
01:21Barrett Esophagus-I: Introduction
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more similar...