Endometrial polyps have a certain chance of becoming cancerous.
Endometrial polyps are single or multiple smooth swellings in the uterine cavity formed by localized overgrowth of the endometrium under the effect of high estrogen level, inflammation and other factors, consisting of endometrial glands, mesenchyme and blood vessels, which can be single or multiple foci, and can be classified into non-tibial and tibial polyps.
The vast majority of endometrial polyps are benign lesions, and their malignant changes are rare. A very small number of polyps may be precancerous and may eventually develop into endometrial cancer. Polyps <1cm in diameter may disappear on their own if they are asymptomatic, and the rate of malignancy is low, so they can be observed and followed up under the guidance of a physician.
For patients with large polyps and symptoms, hysteroscopic polypectomy is recommended, followed by histopathologic examination of the polyps to clarify the nature of the lesions. If cancerous polyps are present, treatment is needed.
It is recommended that patients with endometrial polyps should be observed or treated under the guidance of a physician, and if necessary, endometrial biopsy should be performed in a timely manner to clarify the diagnosis.