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These are rather large formations, sometimes hanging into the lumen of the organ on a long stalk, smooth, intensely colored (bright red, cherry-colored), located more often in the sigmoid or rectum, rarely malignant.
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Diagnosis of endometrial polyps consists of the following activities: a general blood test (leukocytosis, an increase in ESR, possible signs of anemia are detected - a decrease in the number of red blood cells, hemoglobin, a change in color index); biochemical blood test (for markers of inflammation); smear from the vagina; Ultrasound of the uterine cavity; diagnostic curettage followed by histological examination of the material; hysteroscopy with targeted biopsy.
♦ Conservative methods of therapy for adenomatous polyps are ineffective. For patients diagnosed with the disease, radical surgical treatment is recommended. Multiple polyps are malignant in approximately 20% of cases.
♦ Polyps of the gastrointestinal tract.
♦The most common methods of surgical treatment of gastrointestinal polyps are: endoscopic polypectomy with electrocoagulation of the leg or bed of the polyp; transanal excision of the neoplasm; colectomy or resection of the intestine with a polyp (in severe cases).
♦ Treatment of polyps localized in the uterus is carried out in the following ways: pharmacotherapy with hormonal drugs; endoscopic removal of polyps; ovarian resection if necessary (hormone-dependent pathology); removal of the uterus with appendages (recommended for a massive process and in postmenopausal women).
bleeding; perforation of the wall of a hollow organ during surgery; malignancy of the polyp; infertility (uterine polyp); relapse of the disease. Given the high likelihood of recurrence, patients who underwent removal of adenomatous polyps are recommended to be followed up for 2 years. Recurrent polyps occur in 30-50% of cases in the range from 1.5 to 6 months after treatment, while recurrent polyps often undergo malignant transformation.
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Diffuse polyposis is characterized by a massive lesion and has a significant tendency to malignancy - from 80 to 100%. After removal of benign polyps, the first examination is performed after 1.5-2 months, then every 3-6 months (depending on the type of polyp) for 1 year after removal. Further inspection is carried out once a year.
After removal of malignant polyps in the 1st year after the operation, a monthly examination is necessary, in the 2nd year of observation - every 3 months. Only after 2 years are regular checkups every 6 months possible.
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