Topic > The uterus; Endometrial Polyps - 815

The uterus can be affected by multiple pathologies. The word “endo-” originates from the Greek words “endon”; meaning within or within. The word “uterine” which originates from the Latin words “uterinus”; meaning or pertaining to the uterus or womb. The word “polyp/o” originates from the Middle English words “polip or polipus”; means small growth. Combining any form of these two words results in the term uterine polyps. This article will evaluate what a uterine polyp is, the risk factors and symptoms associated with uterine polyps, the imaging modalities used to diagnose uterine polyps, and the best course of treatment for uterine polyps. Uterine polyps are also known as endometrial polyps. Endometrial polyps are not true neoplasms (Figure 1). They are benign nodular protrusions of endometrial hyperplasia and may be sessile or pedunculated (Kim, McClenan, & Outwater, 2005). The protrusions appear as a hyperechoic intracavitary mass with a homogeneous ultrasound structure and smooth margins (Figure 2). Polyps can be single, but more often they develop into multiple protrusions. Attachment of polyps does not disrupt the endometrium-myometrium interface. Small cystic areas are occasionally visible in a more heterogeneous echo structure and may suggest areas of hemorrhage, infarction, inflammation, or torsion (Anonymous, 2012). They can be characterized histologically as localized hyperplastic overgrowth of glands and stroma. Polyps are irregularly distributed in the endometrial glands and stroma and generally consist of three components. It may be a stroma of focal or diffusely dense fibrosis or smooth muscle tissue, thick-walled vessels, and/or endometrial glands (Weerakkody & Radswiki, 2005-2014)...... middle of paper...... as l Transvaginal ultrasound, hysterography, and magnetic resonance imaging are used to detect uterine polyps. Treatment depends on the patient; as well as what the doctor believes is the most beneficial course of treatment for the patient. Anonymous References. (2012). AAGL practice report: practical guidelines for the diagnosis and management of endometrial polyps. Journal of Minimally Invasive Gynecology, 19(1), 3-10.Hricak, H. (2007). Endometrial polyps. Diagnostic imaging (pp. 128-130). Salt Lake City, Utah: Amirsys.Kim, S.H., McClenan, B.L., & Outwater, E.K. (2005). Various lesions of the uterus. Illustrated Radiology (p. 379). Philadelphia: Elsevier Saunders.Weerakkody, Y., & Radswiki. (2005-2014). Endometrial polyp. Radiopedia Blog RSS. Retrieved May 25, 2014, from http://radiopaedia.org/articles/endometrial-polyp