Endometrial Polyp
Endometrial Polyp

•  The polyp contains multiple dilated endometrial glands

•  Some contain inspissated secretions.

•  The stroma is relatively fibrous and eosinophilic.


(Image Contrib. by:UCHC)(Description by: Melinda Sanders, M.D.)
T84000M76800
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Polyp
Etiology

•unknown, some association with tamoxifen a systemic anti-estrogen with mixed effects on the uterus

•may be associated with increased unopposed estrogen


Pathogenesis

•unknown

•• local hyperresponsiveness to estrogen with failure to respond to progesterone


Epidemiology

•perimenopausal women


Clinical

•irregular menses or asymptomatic

•treatment with removal is generally curative


General Gross Description

•sessile or pedunculated soft tan masses

•0.5 cm to 3.0 cm in diameter, usually

•may protrude through cervical os


General Micro Description

•glands varying from proliferative to hyperplastic mixed with glands showing cystic dilatation with secretion

•dense fibrous stroma

•collarette of blood vessels with fibrotic walls

•occasionally glands may be atrophic


Reference

• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1059


• Current literature from PubMed at National Library of Medicine


Synopsis by: Melinda Sanders M.D., UCHC
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