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Updated: May 7, 2026

Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
Endometrial polyp size and polyp hyperplasia
Bernardo P Lasmar1, Ricardo B Lasmar
1Department of Maternal and Child Health, Federal Fluminense University, Niterói, Brazil.
Objective:
To assess the correlation between the size of endometrial polyps and the histopathologic diagnosis of hyperplasia or cancer.
Methods:
A retrospective study was conducted using databases of the outpatient clinic at Antonio Pedro University Hospital in Niterói, Brazil, and of a private hysteroscopy service. The analysis included 1136 asymptomatic patients with an endometrial polyp identified on hysteroscopy, with pathologic examination, during the period 1999-2012. The polyp size, the patients' age, the indication for hysteroscopic examination, and the use of hormone medication were compared with the finding of hyperplasia in the pathologic examination.
Results:
Only polyp size showed statistical significance among the variables analyzed (P<0.05). Endometrial polyps greater than 15mm showed a hyperplasia rate of 14.8%, compared with 7.7% in the group with smaller polyps (P<0.05).
Conclusion:
Endometrial polyps measuring more than 15mm were associated with hyperplasia.
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