{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T20:59:27Z","timestamp":1775163567307,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T00:00:00Z","timestamp":1632441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical importance of endometrial polyp size measured using saline infusion sonohysterography (SIS) before performing a hysteroscopic resection in predicting premalignant\/malignant lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective observational study analysis was conducted of 365 patients, who underwent SIS, in a reference hospital. The longest plane of the polyp size was taken as base. Polyps were classified as benign, premalignant, or malignant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rates of premalignant and malignant lesions were 7.4% and 0.9%, respectively. The mean polyp size was 17.7\u00a0\u00b1\u00a00.5\u00a0mm in benign patients and 23.7\u00a0\u00b1\u00a01.8\u00a0mm in premalignant\/malignant individuals (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). In the group of polyps that were 0\u201310, 10\u201320, 20\u201330, and &gt;30\u00a0mm, premalignancy\/malignancy rates were 0.0%, 4.8%, 13.3%, and 18.8%, respectively. The cut\u2010off value for polyp size to be able to predict lesions was calculated as 22.5\u00a0mm (sensitivity: 63%, specificity: 80%) on receiver operating characteristics curve analysis (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001, area under the curve 0.732). The power of the study was calculated as 90.86%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the female reproductive years, endometrial polyps smaller than 10\u00a0mm, as measured in SIS, can be followed. However, when the polyp size is 22.5\u00a0mm or more, especially in postmenopausal women, treatment should be planned.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13925","type":"journal-article","created":{"date-parts":[[2021,9,12]],"date-time":"2021-09-12T18:47:00Z","timestamp":1631472420000},"page":"582-587","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The clinical importance of polyp size measurement through two\u2010dimensional saline infusion sonohysterography prior to hysteroscopic resection in predicting premalignant and malignant endometrial lesions"],"prefix":"10.1002","volume":"157","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0620-1500","authenticated-orcid":false,"given":"Serkan","family":"Ak\u0131\u015f","sequence":"first","affiliation":[{"name":"Department of Gynecologic Oncology University of Health Sciences Zeynep Kamil Women and Children Diseases Education and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcrkan","family":"K\u0131ran","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Bezmialem Vak\u0131f University  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"G\u00f6\u00e7men","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Medicana Ata\u015fehir Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f74864"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2017.08.009"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/GMIT.GMIT_6_17"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2020.07.007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001776"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12994"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.5395\/rde.2013.38.1.52"},{"key":"e_1_2_7_9_1","unstructured":"DeanAG SullivanKM SoeMM. 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