uterine polyp; endometrial polyp

Introduction

A polyp occurring in the uterus.

Epidemiology

• 5%/year* incidence rate in premenopausal women > 30

* small study

Pathology

• 50% regression in 2.5 years

Clinical manifestations

• abnormal uterine bleeding

Radiology

• pelvic ultrasound

Complications

• 3.6% of endometrial polyps malignant
  • risk factors for neoplasia
    • postmenopausal (HR = 3.9)
    • abnormal vaginal bleeding (HR = 2.0)
  • editorialist is surprised at high incidence of malignancy

Management

• observation
• hysterectomy

More general terms

• polyp