Endometrial lesion’s pattern in different age groups

Chernukha G.E., Asaturova A.V., Ivanov I.A., Dumanovskaya M.R.

National Medical Research Center of Obstetrics, Gynecology, and Perinatology Academician named after V.I. Kulakov, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia
Background. Endometrial polyps (EP) take an important part in the structure of intrauterine pathology and could be associated with abnormal uterine bleeding (AUB), infertility and the risk of endometrial cancer (EC) development. The data concerning EP’s prevalence and combination with other endometrium pathology’s forms in women of different age varies widely. It causes difficulties for understanding the magnitude of the problem and finding solutions for management. The aim. To evaluate the prevalence of EP and other endometrium conditions at different ages. Materials and methods. Based on the study of 4059 histological samples we analysed the EP’s prevalence and association with other intrauterine pathology in women of different age groups. Results. EP was diagnosed in 27.4% of samples. It’s frequency varied from 21.7 to 27.3% in reproductive age and – 45% in postmenopausal women. 19.8% of EP were concomitant with chronic endometritis (CE), 3.7% with endometrial hyperplasia (EH). Conclusions. EP take 1st place in the structure of intrauterine pathology during all age periods. Their prevalence is 2.7 times higher than CE, and 4.5 times higher than EH.

Keywords

endometrial pathology
endometrial polyps
the prevalence

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Received 08.12.2017

Accepted 22.12.2018

About the Authors

Ivanov, Ilya A., postgraduate student, Department of endocrinological gynecology, National Medical Research Center of Obstetrics, Gynecology, and Perinatology Academician named after V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79629800018. E-mail: doctor.i.ivanov@yandex.ru
Asaturova, Alexandra V., Ph.D., senior scientific researcher, Pathology department, National Medical Research Center of Obstetrics, Gynecology, and Perinatology Academician named after V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79269944314. E-mail: a_asaturova@oparina4.ru
Dumanovskaya, Madina R., Ph.D., scientific researcher, Department of endocrinological gynecology, National Medical Research Center of Obstetrics, Gynecology, and Perinatology Academician named after V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74955314444. E-mail: m_dumanovskaya@oparina4.ru
Chernukha, Galina E., M.D., professor, Department of endocrinological gynecology, National Medical Research Center of Obstetrics, Gynecology, and Perinatology Academician named after V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79163110521. E-mail: g_chernukha@oparina4.ru

For citations: Chernukha G.E., Asaturova A.V., Ivanov I.A., Dumanovskaya M.R.Endometrial lesion’s pattern in different age groups. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (8): 129-34. (in Russian)
https://dx.doi.org/10.18565/aig.2018.8.129-134

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