CLINICAL AND MORPHOLOGICAL PARALLELS IN THE DIAGNOSIS OF ENDOMETRIAL POLYPS IN THE AGE ASPECT

Abstract

The aim of research: To study the pathomorphological and endoscopic features of endometrial polyps in women of reproductive, premenopausal and postmenopausal age and conduct a comparative analysis.Materials and methods. To carry out the planned study, 116 women with endometrial polyps were included, who were treated at the Women’s Medical Center of Clinical Hospital “Feofania”. Depending on the pathomorphological type of endometrial polyposis, four groups of patients were formed, Group 1 - 34 women with glandular endometrial polyp, group 2 - 32 patients with glandular-fibrous endometrial polyp, group 3 included 34 women with endometrial fibrous polyp, and the fourth group - 16 patients with endometrial adenomatous polyps. Diagnostic search was carried out by ultrasound followed by hysterectectoscopy and histological examination.Results and discussion. Glandular and glandular-fibrous polyps of the endometrium showed predominantly in women of reproductive 15 (39.4%) age and 10 (31.1%) patients of premenopausal age, against the background of simple endometrial hyperplasia without atypia, in 21 (61.7%) women and in 13 (38.2%) cases against the background of unchanged endometrium. Fibrous polyps are characteristic of postmenopausal women in 21 (45.6%) cases, while on the background of atrophic endometrium in 22 (64.7%) patients, in 7 (20.5%) patients on the background of simple endometrial hyperplasia without atypia, in 5 ( 14.7%) cases against the background of unchanged endometrium. Adenomatous polyps of the endometrium were found in 16 (13.7%) patients of them reproductive 5 (13.1%) and 6 (18.7%) cases of premenopausal age, against the background of complex endometrial hyperplasia without atypia in 5 (31.2%) patients, in 4 (25.1%) women on the background of simple endometrial hyperplasia with atypia, as well as in 3 (18.8%) patients on the background of complex adenomatous endometrial hyperplasia with atypia, and in 1 (6.25%) case on the background atrophic endometrium.Conclusions. Glandular and glandular fibrous polyps of the endometrium are characteristic mainly for women of reproductive and premenopausal age, fibrous polyps of the endometrium are mainly manifested in patients of postmenopausal age. Adenomatous polyps of the endometrium are observed in all age groups. A study of the pathomorphological and endoscopic features of endometrial polyps in women of different age categories in the background endometrium and polyp tissue makes it clear that in most cases they have different pathomorphological characteristics (93,3%), it makes sense to use hysteroscopy with targeted sampling with separate marking of histological material with the definition of further tactics for managing patients for results of pathomorphological findings.