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ATLANTA -- Abnormal vaginal bleeding in a woman of childbearing age may signal the presence of a placental polyp, particularly if she has recently undergone an abortion or dilation and curettage, Dr. Sherelle Laifer-Narin said at the annual meeting of the Roentgen Ray Society.
Placental polyps appear as irregular masses that lack the characteristic appearance of endometrial polyps or pedunculated submucosal myomas. "Because they are highly vascular, diagnostic hysteroscopy is preferable to blind D&C," Dr. Laifer-Narin said.
In a series of 260 patients who underwent saline-infusion hysterosonography for abnormal bleeding, abnormalities were seen in 171. Of these, 89 were polyps, 43 were fibroids, and the remainder were other abnormalities such as redundant endometrium, she said.
In six of the patients who underwent polyp resection, pathologic examination revealed the presence of intrauterine polypoid placental tissue, she said.
Four of ...