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Placental polyp endometrium
Last reviewed: 23.04.2024
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A specific intrauterine mass, formed from residues of placental tissues after a miscarriage, abortion, or childbirth, is a placental polyp of the endometrium. On the remaining tissues of the placenta, which is tightly attached to the uterus, blood clots settle, which form the growth of a benign character. According to medical statistics, about 10% of women face this problem.
The main cause of placental growth is the retention of chorionic tissue in the uterine cavity. There are also a number of factors that increase the risk of developing this pathology:
- Death of the fetus in the womb.
- Medical or classic abortion, miscarriage with incomplete removal of the attachment site of the ovum.
- Incomplete removal of the placenta after cesarean section.
- Improper maintenance of the postpartum period.
In some cases, the placental neoplasm occurs during pregnancy, but is not dangerous for the mother and fetus. It is formed from the tissue of the placenta or fetal membranes and excreted from the body during labor.
The symptomatology of the disease is rather blurred, since many women believe that bleeding after an abortion or childbirth is the norm. Therefore, the main symptom of pathology are spotting or bleeding for an extended period of time. In addition, the patient complains of pain in the lower abdomen, worsening of general well-being, blanching of the skin, fever, itching and burning in the genital area.
If the above symptoms appear, seek medical attention. This is due to the fact that without treatment, the pathological signs progress and cause life-threatening complications:
- Inflammation of the lining of the uterus.
- Ovarian dysfunction.
- The development of infection, sepsis.
- Female infertility.
- Anemia.
For diagnosis, the doctor collects anamnesis, reveals whether there was a pregnancy, miscarriage or abortion, curettage of the uterine cavity. During a gynecological examination, the uterus is enlarged and painful, and an elastic seal is palpable. To confirm the growth conduct ultrasound. Treatment consists of removal of a neoplasm. Scraping or vacuum aspiration is used for this. Also possible to remove using a laser.
Decidual endometrial polyp
This type of neoplasm occurs during pregnancy. After conception, the hormonal background of a woman undergoes changes, because of this, the endometrium begins to actively grow, that is, it decides. During the period, a small growth (decidual polyp) is formed, which protrudes into the lumen of the cervical canal or beyond it.
Causes of pathology:
- Hormonal disorders.
- Injury of the cervix.
- Weakened immune system.
- Elevated estrogen levels.
- Endocrine pathology.
- Urogenital infections.
According to medical statistics, about 22% of pregnant women face polypoid lesions of the uterine mucosa. At the same time, women are diagnosed with two types of tumors:
- Decidual pseudopolyps.
- True polyps with decidualization.
The neoplasm contains a large number of blood vessels, so at the slightest trauma it (sexual intimacy, medical manipulation) begins to bleed. This in turn is dangerous by the development of infectious and inflammatory processes.
Symptoms of decidual intrauterine education:
- Pain and cramps in the lower abdomen.
- Change in color and intensity of discharge.
- Increased body temperature.
- Bloody issues.
For diagnosis, colposcopic examination of the cervix and cervical canal is performed. This procedure is painless and does not take much time. Also, women are prescribed a complex of general clinical and bacteriological laboratory tests.
Identified polyps differentiate from the papilloma of the cervix, injured by tissues and prolapse glands. To determine the condition of the growth do a smear on oncocytology. After the final diagnosis, a treatment plan is drawn up.
As a rule, the decidual endometrial polyp does not require therapy and passes on its own after the restoration of hormonal levels. Moreover, such growths do not interfere with the generic process. Therefore, the gynecologist monitors the neoplasm and the state of the vaginal flora. If the growth is bleeding, there are ulcerations or destructive changes on its surface, it provokes spasms and increases the tone of the uterus, then it is removed.
Endometrial choriosis polyp
Placental (chorial) polyp is a part of placental tissues tightly attached to the endometrium in the uterus. Neoplasm may occur after childbirth or abortion. Blood clots accumulate on the placenta tissue, forming a seal. As it grows, it becomes covered by the placental membrane.
The main causes of chorionic neoplasm:
- Incomplete removal of the placenta after cesarean section.
- Fading pregnancy.
- Late abortion.
- Non-compliance with medical recommendations in the postpartum period.
Symptoms of a pathological condition are manifested by bloody discharge, which many women mistakenly perceive for discharge in the postpartum period. At first, the bleeding is scarce, but gradually becomes quite intense. Such a state is dangerous to life and health, and therefore requires medical assistance.
For the diagnosis, a gynecological examination is carried out, this allows to assess the condition of the uterus and identify large neoplasms. Ultrasound examines growths of any size, structure, and location. In the process of hysteroscopy, the affected tissues are collected, which are sent for histology. It is necessary to identify atypical cells.
Surgical treatment. The polyp is removed and curettage of the uterine cavity is performed. In severe cases, when the growth has taken on a malignant form, the uterus may be removed. To normalize the hormonal background and restore hemoglobin levels prescribed medications.