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2 comments:
Endometrial polyps - Polyps are weeds endometrial hyperplasia endometrial glands and stroma in a sitting or pedunculated projection from the surface of the endometrium form. Single or multiple polyps that can occur from a few millimeters to several centimeters in size. Rarely contain foci of neoplastic growth. Removed In a large series of 509 consecutive women with endometrial polyps by hysteroscopy, histology was benign in 70 percent and showed hyperplasia without atypia in 26 percent and 3 percent with atypical hyperplasia and cancer in 0.8 percent. The average age of women was 56 years and just over half had abnormal uterine bleeding.
Epidemiology - endometrial polyps are rare among women 20 years. The incidence increases steadily with age, peaks in the fifth decade of life, and gradually declines after menopause. Among the women subjected to endometrial biopsy or hysterectomy, the prevalence of endometrial polyps 10 to 24 percent.
Clinical signs - polyps of the endometrium is responsible for APCemetery third quarter lifted the cases of abnormal genital bleeding in premenopausal women and two after menopause. (See "The evaluation and treatment of abnormal uterine bleeding in premenopausal women" and see "Evaluation and treatment of uterine bleeding in postmenopausal women"). Metrorrhagia (ie, irregular bleeding) is the symptom most women with endometrial polyps, occurring in about half of the symptomatic cases. Other less common symptoms include menorrhagia, postmenopausal bleeding, one occurred through the cervix and bleeding during hormone therapy.
Diagnosis - are made by microscopic examination of an endometrial sample from a curettage, endometrial biopsy or hysterectomy diagnosed. The allocation allows for both the diagnosis and treatment of these lesions. Neither ultrasound nor hysteroscopy can distinguish between benign and malignant polyps.
Natural history - a prospective study on the development of endometrial polyps, two saline infusion scans 2.5 years apart from 64 initially asymptomatic women (mean age:44 years). Seven women had polyps in the initial investigation. Four of these women had a spontaneous regression of polyps in the second analysis, while seven women developed new polyps, at a distance of 2.5 years. Polyps larger than 1 cm were less frequently to withdraw. The use of hormones does not seem to affect the natural history of polyps, but the study sample was small.
Treatment - to cure curettage funds, most cases of endometrial polyps. Curettage blindly improved by Randall polyp forceps extraction with detection rates over curettage alone. Hysteroscopic guided curettage is of small polyps and other structural changes missed by blind curettage is recommended.
For women who desire pregnancy, short-term downregulation with a GnRH agonist may be useful. However, clinical experience with this approach is limited to a few cases, symptoms return after stopping treatment with an agonist. In a randomized study inclusion criteria 24 months of infertility, candidate for intrauterine insemination and histologically confirmed sonograpHIC diagnose endometrial polyps, hysteroscopic polypectomy before intrauterine insemination with a significantly higher rate of pregnancy combined () 63 to 28 percent in the control group. Based on this study and to remove other data from observational studies, the polyps of the endometrium in infertile women, even in the absence of bleeding disorders.
No, not cancer.
The Christian significance of the report is in plain English:
"There is no benign growth of extra tissue or excrecence wart in the womb (uterus) with a chronic inflammatory cells are similar, and the need Surveyor at the time, but not cancer or something"
I note that you expect from this anxiety issue, but I do not understand why you are not the advice of a oncologyst in your area (there are many in this country), not on the trip. . .
Not rely on a single specialist to solve your problems and concerns ---
Good luck
Salud!
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