Jul 24, 2008

Polyp of endometrium

Polyp formation of the reasons, and may be inflammatory, endocrine disorders, in particular the high level of estrogen-related. Most scholars believe that immature polyp from the endometrium, especially at the bottom of endometriosis.

Where, by the slender Beattie attached to the uterine cavity wall mass of the uterus can be called polyps. Therefore, in the intrauterine polypoid mass, may have based the submucosal fibroids, endometrial polyps, uterine fibroids adeno-like polyps and malignant polyps (cancer or sarcoma).

[Diagnosis]

Main symptoms of increased or irregular menstrual bleeding; cervical I see or touch the polyps, uterine body slightly increased for hysteroscopy blowing up or subparagraph, the organization will remove the polyp removed or sent to pathological examination, It is clear diagnosis, and with dysfunctional uterine bleeding, submucosal uterine fibroids and endometrial cancer, and other identification.

[Treatment]

Cervical expansion, the polyps removed, followed by the intrauterine Saogua can be diffuse small polyps curettage, and sent to pathological examination. After regular follow-up, recurrence and malignant attention and timely treatment. In recent years it was used Hysteroscopic resection surgery or laser treatment of small polyps, a success.

Over the age of 40 patients, if the bleeding obvious that the frequent recurrence or treatment Bunenggenchu, may consider hysterectomy.

[ET]

Polyp formation of the reasons, and may be inflammatory, endocrine disorders, in particular the high level of estrogen-related. Most scholars believe that immature polyp from the endometrium, especially at the bottom of endometriosis.

[Pathological changes:

In general observation, the most common type is obvious limitations of endometrial tumors in the uterine cavity, or a single hair, gray red, shiny, relatively small in general, the average diameter of 0.5 ~ 2 cm in between. Only a small 1 ~ 2 mm in diameter, large and can be filled with multiple intrauterine. Beattie size and vary in length and the elderly can be prominent in the cervical Estuary. Some shorter Beattie, a diffuse growth. Polyp surface often hemorrhage and necrosis, or co-infection, such as torsion, a hemorrhagic infarction.

Polyp of endometrium

Examination: endometrial polyps from endometrial composition, surface coating layer cubic epithelium or low columnar epithelium. Polyp middle part of a longitudinal axis of fiber, contains blood vessels.

As pedicle narrow, reducing blood supply, the polyps vulnerable degeneration. Polyps most likely to occur within the vascular thrombosis, due to bleeding into a dark purple, often in the top began to necrosis, and it may rot collapsing and falling.

The malignant polyp diagnosis standards are: ① must see the whole polyps form; ② malignant polyps, limited to; ③ no polyps around the endometrial cancer.

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