Volume : VIII, Issue : IX, September - 2019

CARCINOMA IN A POSTMENOPAUSAL ENDOMETRIAL POLYP

Dr K. Ramalingam, Dr D. Arunadevi

Abstract :

Introduction: Endometrial polyp is a common pathology found in gynaecological practice.The incidence of premalignant and malignant findings in endometrial polyps range from 0.5 to 4.8% in the general population and 2 to 10% in postmenopausal women. Case presentation: A 55yr old P2L2 postmenopausal women came with complaint of vaginal bleeding on and off for 3 months. On Per vaginal examination uterus retroverted, parous size, fornices free. Ultrasound revealed well defined hypoechoic lesion of 16.8×14.4 mm in fundal region of endometrial cavity. Fractional curretage done showed cystic dilatation of endometrial glands and chronic nonspecific cervicitis. Non descent vaginal hysterectomy + B/L salpingo–oophorectomy was done and sent for HPE. Gross examination showed endometrial cavity with a small polyp of 1×0.5cm. Microscopy showed non secretory cystic dilatation of endometrial glands with no evidence of hyperplasia/malignancy but the polyp showed features suggestive of a well differentiated endometroid carcinoma villoglandular variant (Grade 1). Discussion: Villoglandular carcinoma is characterized by papillary architecture with delicate fio vascular stalks. It is lined by cuboidal or columnar cells with minimal cellular stratification and mild nuclear pleomorphism . It only invades the superficial layers of the myometrium, and is usually diagnosed at an early stage. Thus it has a better prognosis than typical endometrioid carcinoma. Conclusion: Large symptomatic endometrial polyps, especially those which develop in post menopausal women, have a tendency to show malignant changes. Careful histological examination of endometrial biopsy to find premalignant and malignant lesions should be emphasized

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

CARCINOMA IN A POSTMENOPAUSAL ENDOMETRIAL POLYP, DR K.RAMALINGAM, DR D.ARUNADEVI PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-9 | September-2019


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