The management of polyps in female reproductive organs

摘要: Polyps of the lower reproductive tract are found in 7.8-50% women. It has been hypothesized that cytogenetic modifications on chromosomes 6, 7 and 12 as well epigenetic factors involving enzyme metabolic activities may cause polyps to develop. Cervical 2-5% cases low clinical significance can cause, although rarely, post coital bleedings. grow during pregnancy mucorrhoea. Trans vaginal ultrasound (TVU) provides an excellent diagnostic technique diagnose size anatomic location endometrial (EPs). In asymptomatic young woman with small EPs <10 mm size, conservative management be safely followed by monitoring polyp growth. located at fundal tubocornual regions mechanically affect fertility disturb normal cellular function due chronic inflammation. where Eps a subfertility mechanical hysteroscopic resection is advisable. When sole reason for infertility EP, patient often becomes spontaneously pregnant shortly after removal. EP Detection either peri- or post-menopausal age, symptomatic patients calls meticulous examination polypectomy mandatory. Endometrial curettage also recommended rule out sub hyperplasia cancer. Hysteroscopic surgery large using bipolar resectoscopes, morcellators shavers considered equally efficient safe under general anaesthesia. Recurrence rate unknown. The recent advances TVU hysteroscopy, however, should provide accurate diagnosis effective treatment female minimal recurrence complications. significantly increased incidence colorectal cohorts had might indicate referred colonoscopy. have lowest malignant transformation compared colon, urinary bladder, oropharyngeal, nasal laryngeal carcinomas.