Definition/General
Clinical Features
Master Endometrial Polyp Pathology with RxDx
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Gross Description
Microscopic Description
Immunohistochemistry
Molecular/Genetic
Differential Diagnosis
Sample Pathology Report
Template Format
Sample Pathology Report
Complete Report: This is an example of how the final pathology report should be structured for this condition.
Patient Information
Name: [Patient Name]\nAge: [X] years\nMRN: [Medical Record Number]\nDate of Procedure: [Date]
Clinical History
Clinical indication: [Abnormal uterine bleeding/Postmenopausal bleeding/Infertility workup/Other]\nImaging findings: [Ultrasound/MRI findings if available]\nProcedure: [Hysteroscopic polypectomy/Dilatation and curettage]
Specimen Received
Specimen type: Endometrial polyp\nSpecimen container: [Single/Multiple] container(s)\nFixative: 10% neutral buffered formalin
Gross Examination
The specimen consists of [single/multiple] tan-pink, polypoid tissue fragment(s) measuring up to [X] cm in greatest dimension. The polyp(s) have a [smooth/lobulated] surface and [soft/firm] consistency. Cut surface reveals a [spongy/solid] appearance with visible blood vessels. The specimen is entirely submitted for histological examination in [X] cassettes.
Microscopic Examination
Sections show a benign endometrial polyp composed of endometrial glands and stroma with a characteristic fibrovascular core. The surface is lined by benign endometrial epithelium. The glands show [regular/irregular] distribution and are lined by [ciliated and non-ciliated/secretory/atrophic] epithelium without nuclear atypia. The stroma contains spindle-shaped cells and prominent thick-walled blood vessels. [Surface ulceration/hemorrhage/chronic inflammation] is [present/absent]. Background endometrium shows [proliferative/secretory/atrophic] pattern.
Final Diagnosis
BENIGN ENDOMETRIAL POLYP\n\nSize: [X] cm\nNumber: [Single/Multiple]\nType: [Functional/Basalis/Hyperplastic/Atrophic]\nSurface integrity: [Intact/Ulcerated]
Comments
⢠Benign endometrial polyp with no evidence of atypia or malignancy.\n⢠Complete hysteroscopic removal is typically curative.\n⢠Risk of malignant transformation is very low (<1-3%).\n⢠Follow-up recommended for symptom resolution.\n⢠Consider evaluation for underlying causes if polyps are recurrent.
Reported By
Dr. [Pathologist Name], MD\nConsultant Pathologist\nDate: [Report Date]