Presentation
The patient was referred for transvaginal ultrasound examination for postoperative evaluation of tubal ligation. She is without gynaecological complaints, and denies vaginal bleeding, or discharge.
Patient Data
Lesion of endometrial origin, with localised extension (<25% of the endometrium), sessile, uniform echotexture, regular contours, with two vascular pedicles with focal origin, in the topography of the anterior and fundal wall of the uterus, measuring 16.3 x 10.1 mm.
Case Discussion
Endometrial polyps can occur in women of reproductive age, but they are more common in women who are peri- or postmenopausal.
They may present with abnormal uterine bleeding (e.g., postmenopausal bleeding), although they can also be asymptomatic (most of them).
Transvaginal ultrasound is often the initial investigation method, providing visualisation of the polyp and assessment of its size, location, and characteristics.
Hysteroscopy allows direct visualisation and biopsy or removal of the polyp for definitive diagnosis.
The differential diagnoses may include endometrial hyperplasia, endometrial carcinoma, and submucosal fibroids, among others.
Treatment options include hysteroscopic polypectomy, which is the preferred method for symptomatic polyps. Asymptomatic polyps may not require treatment unless they are affecting fertility or suspected malignancy.
Acknowledgements: special thanks to Dr. Luis Ronan MF de Souza, coordinator of the Radiology medical residency at HC-UFTM.
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