{"id":1424,"date":"2025-12-22T11:02:33","date_gmt":"2025-12-22T09:02:33","guid":{"rendered":"https:\/\/www.ginecolegs.com\/2024\/04\/25\/polipos-endometriales\/"},"modified":"2026-01-28T11:20:19","modified_gmt":"2026-01-28T09:20:19","slug":"polipos-endometriales","status":"publish","type":"post","link":"https:\/\/www.ginecolegs.com\/es\/2025\/12\/22\/polipos-endometriales\/","title":{"rendered":"P\u00f3lipos endometriales"},"content":{"rendered":"\n<strong> Els p\u00f2lips endometrials<\/strong> s\u00f3n formacions s\u00e8ssils o pediculades que es troben en la superf\u00edcie de l&#8217;endometri i que estan formats per endometri, gl\u00e0ndules i estroma.\n\nNom\u00e9s en un 0,5-1% poden tenir component neopl\u00e0stic.\n\nS\u00f3n rars per sota dels 20 anys i la seva major incid\u00e8ncia es d\u00f3na al voltant dels 50 anys.\n\nLa p\u00e8rdua hem\u00e0tica intermenstrual o postmenop\u00e0usica \u00e9s el s\u00edmptoma m\u00e9s freq\u00fcent, encara que la majoria s\u00f3n asimptom\u00e0tics i es diagnostiquen en el curs de l&#8217;ecografia vaginal que practiquem rutin\u00e0riament en cada revisi\u00f3 ginecol\u00f2gica.\n\nEs troba un o diversos p\u00f2lips en el 25% de sagnats intermentruals en les dones premenop\u00e0usiques i menop\u00e0usiques.\n\n<strong> El diagn\u00f2stic<\/strong> definitiu de p\u00f2lip \u00e9s anatomopatol\u00f2gic al analitzar-lo despr\u00e9s de la seva extirpaci\u00f3 per mitj\u00e0 de la <strong>histerosc\u00f2pia<\/strong>. Amb un bon aparell d&#8217;ecografia dif\u00edcilment es falla en el diagn\u00f2stic encara que \u00e9s f\u00e0cil confondre-ho amb un petit mioma subser\u00f3s.\n\n<strong> Tractament <\/strong>\n\nS&#8217;aconsella la resecci\u00f3 del p\u00f2lip a:\n<ul>\n\t<li>Dones amb p\u00e8rdues hem\u00e0tiques (metrorr\u00e0gies).<\/li>\n<\/ul>\n<ul>\n\t<li>Dones asimptom\u00e0tiques per\u00f2 amb factors de risc associats.<\/li>\n<\/ul>\n<ul>\n\t<li>Dones asimptom\u00e0tiques per\u00f2 amb p\u00f2lips m\u00faltiples o majors de 2 cm en premenop\u00e0usiques o d&#8217;1 cm. a postmenop\u00e1usiques. (Individualitzar cada cas)<\/li>\n<\/ul>\n<ul>\n\t<li>Dones inf\u00e8rtils que vulguin un embar\u00e0s.<\/li>\n<\/ul>\nS&#8217;aconsella conducta expectant en:\n<ul>\n\t<li>Dones asimptom\u00e0tiques sense factors de risc i p\u00f2lip \u00fanic e inferior a 2 cm. en premenop\u00e0usica i 1 cm. en menop\u00e0usica. (Individualitzar els casos)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Els p\u00f2lips endometrials s\u00f3n formacions s\u00e8ssils o pediculades que es troben en la superf\u00edcie de l&#8217;endometri i que estan formats per endometri, gl\u00e0ndules i estroma. Nom\u00e9s en un 0,5-1% poden tenir component neopl\u00e0stic. S\u00f3n rars per sota dels 20 anys i la seva major incid\u00e8ncia es d\u00f3na al voltant dels 50 anys. La p\u00e8rdua hem\u00e0tica [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[66,64,82],"tags":[],"class_list":["post-1424","post","type-post","status-publish","format-standard","hentry","category-articulos-ginecologia","category-todos-los-articulos","category-todos-los-articulos-2"],"_links":{"self":[{"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/posts\/1424","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/comments?post=1424"}],"version-history":[{"count":0,"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/posts\/1424\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/media?parent=1424"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/categories?post=1424"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ginecolegs.com\/es\/wp-json\/wp\/v2\/tags?post=1424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}