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Updated: Jun 14, 2026
03:01
Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
Endometrial polyps: symptomatology, menopausal status and malignancy
Abraham Golan1, Bina Cohen-Sahar, Ran Keidar
1Department of Gynecology and Obstetrics, E. Wolfson Medical Center, Holon, Israel.
Gynecologic and Obstetric Investigation
|March 25, 2010
Summary
Malignant and premalignant endometrial polyps were found in both symptomatic and asymptomatic women. Hysteroscopic removal of all diagnosed endometrial polyps is recommended to ensure patient safety.
Area of Science:
- Gynecology
- Reproductive Medicine
- Oncology
Background:
- Endometrial polyps are common, but their malignant potential is not fully understood.
- Risk stratification for endometrial polyps is crucial for appropriate management.
Purpose of the Study:
- To determine the incidence of premalignant and malignant endometrial polyps in symptomatic versus asymptomatic women.
- To evaluate the association between patient characteristics and polyp pathology.
Main Methods:
- Retrospective analysis of 1,124 patients undergoing hysteroscopic polyp resection.
- Inclusion of patient demographics, menopausal status, symptoms, and hormonal medication use.
- Histopathological analysis of resected polyps for malignancy and premalignant conditions.
Main Results:
- Premalignancy or malignancy was detected in 2.7% of symptomatic and 1.3% of asymptomatic patients.
- Among postmenopausal women with abnormal uterine bleeding, 4% had malignancy or atypical hyperplasia.
- Asymptomatic postmenopausal women had a 1.3% rate of malignancy or atypical hyperplasia.
Conclusions:
- Endometrial polyps can harbor premalignant or malignant changes irrespective of menopausal status or symptoms.
- Hysteroscopic resection and subsequent histological examination are vital for all endometrial polyps.
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