Benign endometrial polyp
, Atrophic endometrium and chronic endometritis were seen in 01 (1.
4 TAH, BSO, BPLND, ommentectomy, appendectomy 18 - TAH, BSO 19 12 TAH, BSO, BPPLND, ommentectomy, appendectomy 20 5 TAH, BSO, ommentectomy 21 - TAH, BSO 22 10 TAH, BSO, BPLND, ommentectomy, appendectomy Case Associated condition 1 Leiomyoma 2 Endometrial polyp
, leiomyoma 3 Leiomyoma 4 - 5 Leiomyoma 6 Endometrial cancer stage IB grade II 7 Endometrial polyp
, leiomyoma 8 Leiomyoma, mucinous cystadenoma 9 Endometrial cancer stage III ?
Eleven patients had false negative results, 5 of whom had tumors located within an endometrial polyp
alone, while 3 of the 11 patients had less than 5% of the surface of the endometrium affected by the cancer, making these cancers more difficult to detect.
Age group of 41-50 years is the commonest age group that showed the maximum number of cases with proliferative lesions like disordered proliferative pattern, benign endometrial polyp
According to the pathology results of the lesions excised during H/S and endometrial samples taken from patients; 63 of 100 patients had endometrial polyps
, 11 patients had submucous myomas, 10 patients had endometrial hyperplasia, one patient had a malignity developing on endometrial polyp
basis, and 15 patients had endometrium in proliferative phase.
The main cause of pyometra is cervical canal occlusion usually secondary to carcinoma cervix; however, other benign causes are endometrial polyp
, leiomyoma, infection especially senile cervicitis, a forgotten intrauterine device, cervical occlusion after surgery, and radiation [1-3].
Amongst the endometrial pathologies, endometrial polyp
is the commonest pathology 15 (9%) in our study and the same is reported by Sajjad et al,4 where as Rather et al6 have reported a lower incidence.
Samples with evidence of endometritis, endometrial polyp
, endometrial hyperplasia, or other pathologies were also excluded.
Although 2D study can identify a large number of local endometrial lesions such as benign endometrial polyp
, three-dimensional power Doppler sonography can change and improve sensitivity of identifying endometrial hyperplasia.
was found in 26% cases, sub-mucosal fibroids 13% and only two patients were diagnosed as carcinoma endometrium.
The test revealed an endometrial stripe of <4 mm and an endometrial polyp
, prompting referral to a specialist.
For both cases there was a hyper-echoic focal thickening in the endometrium, highly suggestive of endometrial polyp
mostly probably resulting from endometrial hyperplasia, since both entities can show hyper-echoic appearance on TVS.