Frequência de pólipos endometriais neoplásicos diagnosticados por histeroscopia

Abstract

Objective: To investigate the frequency of neoplastic endometrial polyps diagnosed by hysteroscopy. Methods: This research represents a cross-sectional study of the last 4 years (2015 to 2019) of data from a high complexity hospital in Passo Fundo, the pathology center in the city of Passo Fundo and a private practice in the same city. The survey was conducted from July to August 2019, with a sample of 221 women. Data collection was performed through medical records, following descriptive statistics. Results: Of the polyps found 1.4% are malignant. Most of these had functional endometrium (66.7%) and 100% systemic arterial hypertension. There was a predominance of normal delivery in malignant cases 66.7%, abortions also prevailed in 66.7% and the main indication for the procedure was screening in 45%. Obesity and diabetes mellitus were not predominant in the study with 6.7% and 11.7% respectively in benign cases. The age predominated between 36 and 59 years and the most performed type of hysteroscopy was surgical with 84.2%, Conclusions: In this sample there was a prevalence of patients with benign polyps and previous cesarean sections, in these cases. Another result showed smoking as a protective factor for this pathology, since there was no predominance of smokers in this analyzed variable. It is also worth mentioning that the main form of diagnosis was ultrasound and most of these patients underwent surgical intervention. Finally, it was noticed that all patients with malignant polyps had systemic arterial hypertension and age over 40 years.