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9 Nappi et al.10 postulated that diabetes, hypertension and obesity were independent risk factors for the development of endometrial polyps, but statistical analysis Ergoloid of all the independent variables (odds ratio [OR] 1.05, 95% confidence interval [CI] 1.02�C1.07, P 10 mm (OR 2.93, 95% CI 1.19�C7.20), postmenopausal status (OR 4.85, 95% CI 2.09�C11.27) and abnormal uterine bleeding (OR 3.97, 95% CI 1.71�C9.18) were all independent risk factors (P18 mm in asymptomatic women increased the risk of malignancy (OR 6.9, CI 2.2�C21.4), which was otherwise very low. Further studies are required to ascertain whether incidental endometrial polyps of this website and postmenopausal symptomatic and asymptomatic women with endometrial polyps. Most studies were retrospective and showed large variation due to a heterogeneous case mix regarding patient age and symptoms. The prevalence of atypia and malignancy was 0.8% and 3.1%, respectively. Hysteroscopic AC220 markers for malignant endometrial polyps include surface irregularities such as necrosis, vascular irregularities and whitish thickened areas, which are indications for obtaining a histological diagnosis.17 Mittal et al.18 recommend hysterectomy once the diagnosis of complex atypical hyperplasia or carcinoma in situ in endometrial polyps is made, due to their findings that of 29 women with complex atypical hyperplasia within a polyp, 19 were found to have hyperplasia of the non-polyp endometrium and nine had uterine adenocarcinoma. Of the eight women with adenocarcinoma in situ in the endometrial polyp, three had myoinvasive adenocarcinoma. In contrast, Scrimin et al.19 report that after resectoscopic polypectomy of focal atypia in postmenopausal high-anaesthetic-risk women (n= 16), all the women remained disease-free after 5 years. Larger prospective studies are needed to determine the optimal treatment.