Giant Endometriyal Polyp Resected by Hysteroscopy: A Case Report

Öz

Giant polyp is an unusual female genital tract pathology, commonly arising from the cervix than the endometrium. Giant endometriyal polyp is a rare entity which should be kept in mind while dealing with postmenauposal bleeding cases as they can develop spontaneously and can mimic as an endometriyal or a cervical malignancy. Experience in one such case of an extremely rare protruding giant endometriyal polyp in a 56-year-old postmenopausal female is being described herewith so as to create awareness among the dealing clinicians. The approach to the case with hysteroscopic polypectomy is presented by literature review.

Anahtar Kelimeler

• Giant endometriyal polyp,hysteroscopic polypectomy,postmenopausal bleeding,thick endometrium

Histeroskopi ile Rezekte Edilen Dev Endometriyal Polip: Olgu Sunumu

Öz

Dev polip, genellikle rahim ağzından endometriyuma olağandışı uzanan, bir kadın genital sistem patolojisidir. Dev endometriyal polip, spontan gelişerek endometriyal veya servikal maligniteyi taklit edebileceğinden postemenopozal kanama vakalarında akılda tutulması gereken nadir bir durumdur. 56 yaşındaki menopoz sonrası bir kadında son derece nadir görülen dev bir endometriyal polip vakası klinisyenler arasında farkındalık yaratacak şekilde tarif edilmektedir. Histeroskopik polipektomi işlemi gerçekleştirilen olguya yaklaşım literatür taraması ile sunulmaktadır.

Anahtar Kelimeler

• Dev endometriyal polip,histeroskopik polipektomi,kalın endometriyum,postmenopozal kanama

Kaynakça

1. 1. Unal B, Doğan S, Karaveli FŞ, Simşek T, Erdoğan G, Candaner I, et al. Giant endometriyal 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 endometriyal 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 endometriyal polyp. Eur J Gynaecol Oncol. 2008;29:198–9.
6. 6. Papadia A, Gerbaldo D, Fulcheri E, Ragni N, Menoni S, Zanardi S, et al. The risk of premalignant and malignant pathology in endometriyal polyps: Should every polyp be resected? Minerva Ginecol. 2007;59:117–24.