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Polyp
Etiology

unknown, some association with tamoxifen a systemic anti-estrogen with mixed effects on the uterus
may be associated with increased unopposed estrogen
Pathogenesis

unknown
? local hyperresponsiveness to estrogen with failure to respond to progesterone,
Epidemiology

perimenopausal women
General Gross Description

sessile or pedunculated soft tan masses
0.5 cm to 3.0 cm in diameter, usually
may protrude through cervical os
•Examples:
General Microscopic Description

glands varying from proliferative to hyperplastic mixed with glands showing cystic dilatation with secretion
dense fibrous stroma
collarette of blood vessels with fibrotic walls
occasionally glands may be atrophic
•Examples:
Endometrial Polyp (Low Power) Endometrial Polyp (Medium Power) Endometrial Polyp (Low Power) Endometrial Polyp (Medium Power) Endometrial Polyp (High Power)
Clinical Correlation

irregular menses or asymptomatic
treatment with removal is generally curative
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1059

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Polyp
Synopsis by: Melinda Sanders M.D. (T84000M76800)[16]
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