Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : QD06 - QD07

Story of a Giant Endometrial Polyp in Asymptomatic Postmenopausal Female

Jahnavi Meena, Rahul Manchanda, Sudhir Kulkarni, Nirmal Bhargava, Priyanka Mahawar

1. Fellow, Department of Gynae Endoscopy, Manchanda's Endoscopic Centre, Pushawati Singhania Research Institute, Delhi, India. 2. Head, Department of Gynae Endoscopy, Manchanda's Endoscopic Centre, Pushawati Singhania Research Institute, Delhi, India. 3. Head, Department of Pathology, Pushawati Singhania Research Institute, Delhi, India. 4. Fellow, Department of Gynae Endoscopy, Manchanda's Endoscopic Centre, Pushawati Singhania Research Institute, Delhi, India. 5. Fellow, Department of Gynae Endoscopy, Manchanda's Endoscopic Centre, Pushawati Singhania Research Institute, Delhi, India.

Correspondence Address :
Dr. Jahnavi Meena,
H-25 C, DDA Flats, Dilshad Garden, Delhi-110095, India.
E-mail: docjahnavi@gmail.com

Abstract

Endometrial polyps are localized overgrowth of endometrial glands and stoma through the uterine cavity. They are associated with postmenopausal bleeding, infertility and menorrhagia and are affected by unbalanced oestrogen therapy or increased frequency of tamoxifen exposure. We report a case of giant endometrial polyp in postmenopausal female without vaginal bleeding and hormone or drug use. A 65-year-old, postmenopausal female P3L2 with hypertension and Diabetes Mellitus (DM) came for routine health check-up. Her physical examination was normal. Pelvic examination uterus was multiparous sized, mid positioned and bilateral fornices were free. Patient was planned for hysteroscopic guided biopsy as her Ultrasonography (USG) showed endometrial thickness to be 12.3 mm. On hysteroscopy, there was hyperplastic endometrium with large endometrial polyp of size 8.5 cm. Polypectomy was done and the same was sent for histopathological evaluation. Report showed cystic hyperplasia without atypia. To summarize, postmenopausal female will not always present with symptoms and USG can also quite frequently miss the diagnosis, so proper evaluation is needed using hysteroscopy which is gold standard for diagnosis and treatment of endometrial polyp.

Keywords

Endometrial overgrowth, Hysteroscopic polyp excision, Uterine polyp

How to cite this article :

Jahnavi Meena, Rahul Manchanda, Sudhir Kulkarni, Nirmal Bhargava, Priyanka Mahawar. STORY OF A GIANT ENDOMETRIAL POLYP IN ASYMPTOMATIC POSTMENOPAUSAL FEMALE. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Mar 27 ]; 11:QD06-QD07. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=March&volume=11&issue=3&page=QD06-QD07&id=9482

DOI and Others

DOI: 10.7860/JCDR/2017/24801.9482

Date of Submission: Oct 17, 2016
Date of Peer Review: Nov 16, 2016
Date of Acceptance: Dec 13, 2016
Date of Publishing: Mar 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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