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Polypectomy and endometrial resection in postmenopausal patients
H Maia1, L C Calmon, D Marques
1Endoscopy Unit, CePARH, Rua Caetano Moura, 35, Federacao, Salvador, 40210-341 Bahia, Brazil.
Study Objective:
To evaluate the therapeutic efficacy of polypectomy associated with endometrial resection for the treatment of polyps in postmenopausal women.
Design:
Prospective study (Canadian Task Force classification II-2).
Setting:
Private urban hospital with facilities for endoscopic surgery.
Patients:
Sixty-six women with endometrial polyps.
Interventions:
Sixty-four of the 66 patients underwent polypectomy followed by endometrial resection. One patient had hysterectomy because endometrial biopsy showed serous papillary carcinoma.
Measurements And Main Results:
No major complications were associated with the procedure. Histopathology showed hyperplasia in most polyps. One patient had a papillary uterine carcinoma in the polyp that was not detected by preoperative endometrial biopsy. The women were followed with transvaginal sonography for 1 year after surgery.
Conclusion:
Polypectomy followed by endometrial resection is a very low-risk procedure for postmenopausal patients. There was no recurrence after the first year in women who completed follow-up.