Open AccessStory of a Giant Endometrial Polyp in Asymptomatic Postmenopausal Female
Author(s) -
Jahnavi Meena,
Rahul Manchanda,
Saurabh Kulkarni,
Nirmal Bhargava,
Priyanka Mahawar
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/24801.9482
Subject(s) - medicine , endometrial polyp , hysteroscopy , polypectomy , endometrial biopsy , atypia , pelvic examination , endometrial cancer , endometrial hyperplasia , endometrium , uterine cavity , gynecology , biopsy , radiology , uterus , cancer , obstetrics , pathology , colonoscopy , colorectal cancer
Endometrial polyps are localized overgrowth of endometrial glands and stoma through the uterine cavity. They are associated with postmenopausal bleeding, infertility and menorrhagia and are affected by unbalanced oestrogen therapy or increased frequency of tamoxifen exposure. We report a case of giant endometrial polyp in postmenopausal female without vaginal bleeding and hormone or drug use. A 65-year-old, postmenopausal female P3L2 with hypertension and Diabetes Mellitus (DM) came for routine health check-up. Her physical examination was normal. Pelvic examination uterus was multiparous sized, mid positioned and bilateral fornices were free. Patient was planned for hysteroscopic guided biopsy as her Ultrasonography (USG) showed endometrial thickness to be 12.3 mm. On hysteroscopy, there was hyperplastic endometrium with large endometrial polyp of size 8.5 cm. Polypectomy was done and the same was sent for histopathological evaluation. Report showed cystic hyperplasia without atypia. To summarize, postmenopausal female will not always present with symptoms and USG can also quite frequently miss the diagnosis, so proper evaluation is needed using hysteroscopy which is gold standard for diagnosis and treatment of endometrial polyp.