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Endometrial Polyp
Barton F. Lane, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Endometrial polyp (EP)
            • Synonyms

              • Uterine polyp
            • Definitions

              • Focal hyperplastic overgrowth of endometrial tissue
              • Saline infusion sonohysterography (SHG, SIS): Ultrasound of uterus after distension of cavity with sterile saline

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Fang L et al: Value of 3-dimensional and power Doppler sonography for diagnosis of endometrial polyps. J Ultrasound Med. 32(2):247-55, 2013
                                        2. Van den Bosch T et al: Pre-sampling ultrasound evaluation and assessment of the tissue yield during sampling improves the diagnostic reliability of office endometrial biopsy. J Obstet Gynaecol. 32(2):173-6, 2012
                                        3. Costa-Paiva L et al: Risk of malignancy in endometrial polyps in premenopausal and postmenopausal women according to clinicopathologic characteristics. Menopause. 18(12):1278-82, 2011
                                        4. La Sala GB et al: Diagnostic accuracy of sonohysterography and transvaginal sonography as compared with hysteroscopy and endometrial biopsy: a prospective study. Minerva Ginecol. 63(5):421-7, 2011
                                        5. Cil AP et al: Power Doppler properties of endometrial polyps and submucosal fibroids: a preliminary observational study in women with known intracavitary lesions. Ultrasound Obstet Gynecol. 35(2):233-7, 2010
                                        6. Grimbizis GF et al: A prospective comparison of transvaginal ultrasound, saline infusion sonohysterography, and diagnostic hysteroscopy in the evaluation of endometrial pathology. Fertil Steril. 94(7):2720-5, 2010
                                        7. Lee SC et al: The oncogenic potential of endometrial polyps: a systematic review and meta-analysis. Obstet Gynecol. 116(5):1197-205, 2010
                                        8. Tamura-Sadamori R et al: The sonohysterographic difference in submucosal uterine fibroids and endometrial polyps treated by hysteroscopic surgery. J Ultrasound Med. 26(7):941-6; quiz 947-8, 2007
                                        9. American College of Obstetricians and Gynecologists Committee on Gynecologic Practice: ACOG committee opinion. No. 336: Tamoxifen and uterine cancer. Obstet Gynecol. 107(6):1475-8, 2006
                                        10. Hassa H et al: Are the site, diameter, and number of endometrial polyps related with symptomatology? Am J Obstet Gynecol. 194(3):718-21, 2006
                                        11. Fong K et al: Transvaginal US and hysterosonography in postmenopausal women with breast cancer receiving tamoxifen: correlation with hysteroscopy and pathologic study. Radiographics. 23(1):137-50; discussion 151-5, 2003
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Endometrial polyp (EP)
                                                  • Synonyms

                                                    • Uterine polyp
                                                  • Definitions

                                                    • Focal hyperplastic overgrowth of endometrial tissue
                                                    • Saline infusion sonohysterography (SHG, SIS): Ultrasound of uterus after distension of cavity with sterile saline

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Fang L et al: Value of 3-dimensional and power Doppler sonography for diagnosis of endometrial polyps. J Ultrasound Med. 32(2):247-55, 2013
                                                                              2. Van den Bosch T et al: Pre-sampling ultrasound evaluation and assessment of the tissue yield during sampling improves the diagnostic reliability of office endometrial biopsy. J Obstet Gynaecol. 32(2):173-6, 2012
                                                                              3. Costa-Paiva L et al: Risk of malignancy in endometrial polyps in premenopausal and postmenopausal women according to clinicopathologic characteristics. Menopause. 18(12):1278-82, 2011
                                                                              4. La Sala GB et al: Diagnostic accuracy of sonohysterography and transvaginal sonography as compared with hysteroscopy and endometrial biopsy: a prospective study. Minerva Ginecol. 63(5):421-7, 2011
                                                                              5. Cil AP et al: Power Doppler properties of endometrial polyps and submucosal fibroids: a preliminary observational study in women with known intracavitary lesions. Ultrasound Obstet Gynecol. 35(2):233-7, 2010
                                                                              6. Grimbizis GF et al: A prospective comparison of transvaginal ultrasound, saline infusion sonohysterography, and diagnostic hysteroscopy in the evaluation of endometrial pathology. Fertil Steril. 94(7):2720-5, 2010
                                                                              7. Lee SC et al: The oncogenic potential of endometrial polyps: a systematic review and meta-analysis. Obstet Gynecol. 116(5):1197-205, 2010
                                                                              8. Tamura-Sadamori R et al: The sonohysterographic difference in submucosal uterine fibroids and endometrial polyps treated by hysteroscopic surgery. J Ultrasound Med. 26(7):941-6; quiz 947-8, 2007
                                                                              9. American College of Obstetricians and Gynecologists Committee on Gynecologic Practice: ACOG committee opinion. No. 336: Tamoxifen and uterine cancer. Obstet Gynecol. 107(6):1475-8, 2006
                                                                              10. Hassa H et al: Are the site, diameter, and number of endometrial polyps related with symptomatology? Am J Obstet Gynecol. 194(3):718-21, 2006
                                                                              11. Fong K et al: Transvaginal US and hysterosonography in postmenopausal women with breast cancer receiving tamoxifen: correlation with hysteroscopy and pathologic study. Radiographics. 23(1):137-50; discussion 151-5, 2003