| Texto completo | |
| Autor(es): |
Costa-Paiva, Lucia
[1]
;
Godoy, Jr., Carlos E.
;
Antunes, Jr., Armando
;
Caseiro, Joyce D.
;
Arthuso, Michael
;
Pinto-Neto, Aarao M.
Número total de Autores: 6
|
| Afiliação do(s) autor(es): | [1] Univ Estadual Campinas, Fac Med Sci, Dept Obstet & Gynecol, Sch Med, BR-13083970 Campinas, SP - Brazil
Número total de Afiliações: 1
|
| Tipo de documento: | Artigo Científico |
| Fonte: | MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY; v. 18, n. 12, p. 1278-1282, DEC 2011. |
| Citações Web of Science: | 42 |
| Resumo | |
Objective: The aim of this study was to evaluate the prevalence of endometrial premalignant and malignant polyps in premenopausal and postmenopausal women, as well as the clinical, ultrasound, and hysteroscopic factors associated with malignancy. Methods: All women undergoing hysteroscopic resection of endometrial polyps from January 1998 to December 2008 were selected using a computerized database from the operating theater of the Prof. Dr. Jose Aristodemo Pinotti Women's Hospital, Women's Health Care Center/University of Campinas. Eight hundred seventy women with ages ranging from 25 to 85 years were included. Polyps were classified into benign (endometrial polyps and polyps with nonatypical simple hyperplasia and nonatypical complex hyperplasia), premalignant (polyps with atypical simple hyperplasia or atypical complex hyperplasia), and malignant. Statistical analysis was performed by measurement of the frequencies, means, and SD. The risk factors for malignancy were assessed by bivariate and multiple regression analyses, using the Epi-Info 2000 program and SAS (Statistical Analysis Software), version 9.2. Results: The mean (SD) age of the women was 57.5 (10.6) years. Of these women, 76.4% were postmenopausal. Women were diagnosed with benign lesions in 95.8% of cases. Premalignant polyps accounted for 1.6% of the total number of cases. Malignant polyps represented 2.5% of the total sample. Postmenopausal bleeding and age greater than 60 years were the only factors that remained associated with a higher risk of malignancy with a prevalence ratio of 3.67 (95% CI, 1.69-7.97) and 1.5 (95% CI, 1.01-1.09), respectively. Conclusions: The prevalence rate of malignancy in endometrial polyps was higher in women with postmenopausal bleeding and advanced age. (AU) | |
| Processo FAPESP: | 09/14629-2 - Expressão de receptores hormonais, ciclo-oxigenase-2, aromatase, marcadores de proliferação e apoptose celular em pólipos endometriais de mulheres na pré e pós-menopausa |
| Beneficiário: | Lucia Helena Simões da Costa Paiva |
| Modalidade de apoio: | Auxílio à Pesquisa - Regular |