Frequency of endometrial cancer and atypical hyperplasia in infertile women undergoing hysteroscopic polypectomy

• DOI: 10.1111/jog.13408
• Publication Date: 2017-07-14T12:36:50Z
• Authors: Yasushi Kuribayashi; Koji Nakagawa; Rie Sugiyama; Hiroshi Motoyama; Rikikazu Sugiyama
• Keywords: Polypectomy; Endometrial Polyp; Endometrial hyperplasia

We aimed to determine the frequency of endometrial cancer in infertile women undergoing hysteroscopic polypectomy for polyps.A total 1035 patients who underwent office-based at Sugiyama Clinic Marunouchi between July 2011 and October 2015 were eligible this retrospective study. All had been diagnosed with polyps via hysterofiberscopy prior operation, they using a resectoscope monopolar resection. Surgical specimens examined histopathologically. Characteristics on histopathological examination evaluated retrospectively.The median age was 32 years (range, 19-44 years). On examination, found 10 (0.97%). Each histological type represented as follows: three cases endometrioid adenocarcinoma G1; one G2; two G3; four atypical hyperplasia. The 34 28-41 years), body mass index 21.2 kg/m2 16.7-29.9 ). Nine nulliparous, all undergone infertility treatment, only woman having delivered healthy baby. An ovulation disorder noted patients, obesity (body > 25 ) just two. Polycystic ovary syndrome concomitantly observed patient. However, abnormal vaginal bleeding not any these patients.Hysteroscopic should be performed when are detected investigational screening, surgical checked presence malignancy.