Giant Endometrial Polyp in a Postmenopausal Woman

Öz

Giant polyp is an unusual female genital tract pathology, commonly arising from the cervix than the endometrium. It is a great masquerader of cervical or endometrial malignancy and can lead to a diagnostic dilemma and unnecessary aggressive interventions. Experience in one such case of an extremely rare protruding giant endometrial polyp in a 63-year-old postmenopausal female is being described herewith so as to create awareness among the dealing clinicians. The approach to such a case, differential diagnosis, and review of the literature is also presented.

Anahtar Kelimeler

• Giant endometrial polyp,postmenopausal bleeding,thick endometrium

Postmenopozal bir Kadında Dev Endometriyal Polip

Öz

Dev polip, genellikle rahim ağzından endometriyuma olağandışı uzanan, bir kadın genital sistem patolojisidir. Servikal veya endometrial maligniteyi taklit edebilir ve tanısal bir ikileme veya gereksiz agresif müdahaleye neden olabilir. 63 yaşındaki menopoz sonrası bir kadında son derece nadir görülen dev bir endometrial polip vakası klinisyenler arasında farkındalık yaratacak şekilde tarif edilmektedir. Böyle bir olguya yaklaşım, ayırıcı tanı ve literatür taraması da sunulmaktadır.

Anahtar Kelimeler

• Dev endometriyal polip,kalın endometriyum,postmenopozal kanama

Kaynakça

1. 1- Unal B, Doğan S, Karaveli FŞ, Simşek T, Erdoğan G, Candaner I, et al. Giant endometrial polyp in a postmenopausal woman without hormone/Drug use and vaginal bleeding. Case Rep Obstet Gynecol. 2014:51-83.
2. 2- Newell S, Overton C. Postmenopausal bleeding should be referred urgently. Practitioner. 2012;256:13–15.
3. 3- Smith PP, O'Connor S, Gupta J, Clark TJ. Recurrent postmenopausal bleeding: A prospective cohort study. J Minim Invasive Gynecol. 2014;21:799–803.
4. 4- Çil AS, Bozkurt M, Kara D, Guler B. Giant endometrial polyp protruding from the external cervical os in a postmenopausal woman: magnetic resonance imaging and hysteroscopic findings. Proc Obstet Gynecol. 2013;3:3-9.
5. 5- Erdemoglu E, Güney M, Keskin B, Mungan T. Tamoxifen and giant endometrial polyp. Eur J Gynaecol Oncol. 2008;29:198–199.
6. 6- Papadia A, Gerbaldo D, Fulcheri E, Ragni N, Menoni S, Zanardi S, et al. The risk of premalignant and malignant pathology in endometrial polyps: Should every polyp be resected? Minerva Ginecol. 2007;59:117–124.