Polyp And Adenomyosis Flashcards
What is polyp
Localised hyperplasticity overgrowth of endometrial glands
Strong around a vascular core
Sessile and peduculated projection from the surface of endometrium
Polyp has blood vessel running in the centre
Gross appearance of polyp
Narrow
Beady red in colour
Generally pedunculated with narrow base
Soft and friable to touch
A dilated vessel can be visualised
Smooth surface
Pfibroid appearance
Whorled appearance
White in colour
Irregular contour
Risk factors for polyp
Obesity
Increasing age
Tamoxifen
Syndromes
Lynch syndr
Cowdenbeath syndrome
Clinical presentation of polyp
Intermenstrual bleeding
Irregu bleeding
In post menopausal women post menopause bleeding
Diagnosis
Upt
Tvs feeder vessel sign
Hyperechoic mass with narrow base with vessel running up to the centre
Hysterocopy
Gold standard examination for polyp
Histopatholigical biopsy
Hysteroscopic polypectomy indicated in
In all post menopausal wome
In pre menopausal
Aub
Infertility
Multiple polyps
Size of polyp >1.5 cm
Prolapsed polyp
Recurrent polyp
Most common indication of hysteroscopy
Infertility
Indications for hysteroscopy
Infertility
Aub
Post menopausal bleeding
Recurrent early pregnan loss
Adenomyosis
Presence of endometrial glands and stroma are present in the myometrium
More than1 high power field and more than 2.5 mm
Adenomyosois occurs in
Multiparous females
4 to 5decade
Hypertrophy of surrounding myometrium occurs
Clinical features
Heavy menstrual bleeding
Dysmenorrhea
Chronic pelvic pain
Per vaginal examination
Mobile uterus
Symmetrical ennlarged
Never >12 weeks
Soft boggy
Tender Halban sign
No adenxal mass
How endometriosis is different from the adenomyosis
In endometriosis the uterus is fixed and retroverted and adenxal mass is present
