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Updated: May 31, 2026
03:01
Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
Risk and predictors of malignancy in women with endometrial polyps
Stephanie L Wethington1, Thomas J Herzog, William M Burke
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Annals of Surgical Oncology
|June 25, 2011
Summary
The risk of endometrial cancer in women with polyps is low, at 1.3%. This risk increases for postmenopausal women, especially those experiencing vaginal bleeding.
Area of Science:
- Gynecology
- Oncology
- Pathology
Background:
- Endometrial polyps are common in women of all ages and have a small risk of malignancy.
- Lack of consensus guidelines for managing women with endometrial polyps.
- This study investigates malignancy risk in symptomatic and asymptomatic women with endometrial polyps.
Purpose of the Study:
- To determine the risk of malignancy in women diagnosed with endometrial polyps.
- To identify factors associated with atypical hyperplasia and endometrial cancer in women with polyps.
Main Methods:
- Retrospective analysis of institutional databases from 2002-2007.
- Inclusion of women with pathologically confirmed endometrial polyps.
- Review of demographic, clinical, and pathological outcomes, including menopausal status and bleeding patterns.
Main Results:
- 1011 women with endometrial polyps were identified; 1.3% had endometrial cancer.
- Malignancy risk was associated with menopausal status.
- Postmenopausal women with vaginal bleeding had a higher risk (3.8%) of atypical hyperplasia or cancer.
Conclusions:
- The overall risk of endometrial cancer in women with polyps is 1.3%, with only 0.3% of cancers confined to the polyp itself.
- The risk of malignancy is significantly higher in postmenopausal women presenting with vaginal bleeding.
- Findings highlight the importance of considering menopausal status and bleeding in the management of endometrial polyps.
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