Chinese Journal of Practical gynecology ang obstetric

Chinese Journal of Practical gynecology ang obstetric ›› 2022, Vol. 38 ›› Issue (3): 280-283.DOI: 10.19538/j.fk2022030108

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Malignant endometrial polyps.

  

  1. Department of Obstetrics and Gynecology，Peking Union Medical College Hospital，Beijing 100730，China
  • Online:2022-03-02 Published:2022-03-02

子宫内膜息肉恶变

  

  1. 中国医学科学院北京协和医院妇产科学系，北京 100730
  • 通讯作者: 李雷
  • 基金资助:
    北京市科技计划首都临床诊疗技术研究及转化应用（Z211100002921068）；中国医学科学院中央级公益性科研院所基本科研业务费专项资金（2020-PT320-003）

Abstract: Less than 3% endometrial polyps belong to malignant polyps.Malignant endometrial polyps have similar pathological subtypes，risk factors，diagnostic and treatment protocols with endometrial carcinomas.However，due the local natures of polyps，hysteroscopy should be adopted as the primary choice for achieve pathological diagnosis rather than D&C or minimally samplings.Fertility-sparing treatment should be prudently recommended to patients with sufficient consenting.

Key words: malignant endometrial polyps；endometrial carcinomas；hysteroscopy；risk factors；fertility-sparing 

摘要： 子宫内膜息肉不到3%发生恶变，病理类型、高危因素和诊疗方案与子宫内膜癌相同。由于子宫内膜息肉的局灶病变性质，应采取宫腔镜下子宫内膜息肉切除术获取病理学诊断，而不宜行诊断性刮宫或微量取样。子宫内膜息肉恶变的保守治疗也需要更加慎重。

关键词: 子宫内膜息肉恶变, 子宫内膜癌, 宫腔镜, 高危因素, 保留生育功能

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