1. Prevalence and predictors of atypical histology in endometrial polyps removed by hysteroscopy: a secondary analysis from the SICMIG hysteroscopy trial
- Author
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Garuti, G, Luerti, M, Leone, Fpg, Perriini, G, Dealberti, D, Vitelli, V, Angioni, S, Vitagliano, A, Sardo, Ad, Benassi, G, De Angelis, C, Nappi, L, Bettocchi, S, Casadio, P, Marchino, Gl, Lanzo, G, Busato, E, Calzolari, S, Castellacci, E, Giarre, G, Personeni, C, Mangino, F, Scrimin, F, Cela, V, and Florio, P
- Subjects
Original Paper ,endometrial polyp ,hysteroscopy ,atypical hyperplasia ,endometrial cancer ,polypectomy ,Endometrial polyp ,Atypical hyperplasia ,Endometrial cancer ,Hysteroscopy ,Polypectomy - Abstract
Background The aim of this study is to assess the prevalence of atypical hyperplasia (AH) and endometrial cancer (EC) within endometrial polyps (EPs) removed by hysteroscopy. Methods Hysteroscopic polypectomy interventions were performed over 1436 consecutive patients with Eps to complete a prospective observational trial (Canadian Task Force Classification II-2) including 19 Italian Gynecologic Departments (University-Affiliated or Public Hospitals) for a secondary multicenter analysis. Results At histological analysis, in 1404 patients (97.8%) EPs were classified as benign, whereas in 32 patients (2.2%) EPs were diagnosed as atypical (i.e. with AH or EC). Specifically, AH and EC were found in 17 (1.2%) and 15 (1.0%) cases, respectively. Risk factor analysis showed that menopausal status, BMI and size of EPs were associated with increased risk of atypical EPs (p
- Published
- 2019