This article reviews data on 15 postmenopausal women who had very large endometrial polyps. The women ranged in age from 55 to 70 years. The polyps themselves were large, with diameters ranging from 4.0 to 12.0 cm. The most frequent symptom reported was bleeding after menopause. Histological examination showed that 11 out of the 15 polyps were benign and showed cystic dilatation.
Surgical approaches varied among the patients. Six patients had hysteroscopic polypectomy, eight received a total abdominal hysterectomy with bilateral salpingo-oophorectomy, and one underwent dilation and curettage. No adverse events or safety concerns were reported in this specific review. However, because this is a small case series and literature review, the findings should not be used to change standard care.
Transvaginal sonography remains the first-line test for initial evaluation. Diagnostic hysteroscopy with complete polypectomy is still the gold standard for accurate assessment and avoiding unnecessary surgery. Readers should understand that this review describes a rare situation and does not provide new evidence for routine management of endometrial polyps.
