POLYPOUS TRANSFORMATION OF ENDOMETRIUM: FEATURES OF DIAGNOSIS IN WOMEN WITH INFERTILITY
DOI:
https://doi.org/10.11603/24116-4944.2018.2.9266Keywords:
infertility, endometrium polyps, fibro-vascular nucleus, ultrasonography, hyperplastic processes of endometriumAbstract
The aim of the study – to find out the incidence of divergence in the diagnosis of endometrial polyps in women of reproductive age.
Materials and Methods. 43 patients of reproductive age with endometrial polyps were examined: ultrasonographic examination of the uterus, biopsy or endometrium scaling. The age of the patients ranged from 23 to 43 years.
Results and Discussion. The first clinical group was 33 patients with infertility. The second clinical group includes 10 women without reproductive disorders. Sonographically, the following types of polyps are singled out: glandular – 15 cases, glandular-fibrotic – 26 and fibrotic – two cases. With the prevalence of the glandular component, the accuracy of the diagnosis reached 89 %, and with a stromal prevalence of 100 %. Glandular polyps were diagnosed in 82 % of cases. Pathomorphologically, in the first clinical group, glandular-fibrotic polyps prevailed (21 cases). The polyp with a predominant fibrous component was the most. In the second group, the glandular component of the polyp prevailed. At primary infertility glandular polyps are characteristic, at secondary – glandular-fibrotic with prevalence of a stromal component. Polyps with a prevalence of the glandular component predominated in women of the second group – seven cases, and with the prevalence of the stromal component – in women of the first clinical group – 13 cases. Fibrotic polyps were found only in women of the first clinical group. In most cases (74.6 %) there were signs of chronic inflammation.
Conclusions. The most complicated for ultrasound are fibrotic polyps in combination with endometrium hyperplasia, which are perceived as uterine fibromyoma. The presence of inclusions of increased echogenicity in the glandular and glandular fibrotic polyps of the endometrium is the reason for the decrease in the level of their diagnosis. Endometrial polyps are characterized by inflammatory lymphocytic infiltration of the stroma, indicating in favor of chronic endometritis. In women with infertility, there are glandular and glandular-fibrotic polyps with the prevalence of the fibrotic component, the common feature of which is the distinct fibro-vascular nucleus.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
