DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171421

Clinicopathological analysis of cervical polyps

Ushadevi Gopalan, Sathiyakala Rajendiran, Ranganathan Karnaboopathy

Abstract


Background: Cervical polyps are the commonest cervical lesions and occur in about 2-5% of women. It is common practice to remove these polyps whenever they are identified and the main reason for this is the concern over the potential for malignant transformation. This study was done to analyse the spectrum of histopathological diagnosis in cases of cervical polyps and to identify focus of malignancy if present. This would help us to improve further management of cases of symptomatic and asymptomatic cervical polyps

Methods: This study was conducted in the department of Obstetrics and Gynecology in a tertiary care teaching hospital over a period of two years. Women with a polypoidal growth from the cervix visualized on per speculum examination were included in the study. Polypectomy was done and the specimen sent for histopathological examination and the data analysed.

Results: Total of 107 women was included in the study. Most of the women (47.7%) were in the age group 40-49 years. Endocervical mucous polyp was found to be the most common lesion (50.5%) followed by benign endometrial polyp (21.5%), and leiomyomatous polyp in 13.1%. There were no foci of malignancy identified in any of these polyps.

Conclusions: As the incidence of malignancy in endocervical polyp is very low, it is suggested that in cases of asymptomatic polyps, there is a role for expectant management with no intervention and these patients can be followed up leading to significant savings in health resources 


Keywords


Cervical polpys, Endocervical polyps, Histopathological analysis, Polypectomy

Full Text:

PDF

References


Ozsaran AA, Itil IM, Sagol S. Endometrial hyperplasia coexisting with cervical polyps. Int J Gynecol Obstet. 1999;66:185-6.

Tiras. MB. Current diagnosis and treatment: Obstretics and gynecology. Chapter 40. Benign disorders of the uterine cervix. 11th ed. Newyork NY: Lange (McGraw-Hill);2014:657-59.

Cortan RS, Kumar V, Collins T. Robbins Pathologic Basis of Disease. Female Genital Tract. 6th ed. Philadelphia, PA: Elsevier; 1992:1042-8.

Berzolla CE ,Schnatz PF , O’Sullivan DM, Bansal R, Mandavilli S ,Sorosky JI. Dysplasia and malignancy in endocervical polyps. J Womens health (Larchmt). 2007;16(9):1317-21.

Abramovici H, Bornstein J, Pascal B. Ambulatory removal of cervical polyps under colposcopy. Int J Gynaecol Obstet.1984;37(1):47-50.

Golan AI, Ber A, Wolman I, David MP. Cervical polyp: Evaluation of current treatment. Gynecol Obstet Invest. 1994;37(1):56-8.

Mackenzie IK, Naish C, Rees CM, Manek S. Why remove all cervical polyps and examine them histologically? BJOG. 2009;116(8):1127-9.

Medline Plus Medical Encyclopaedia. August 2009 http://www.nlm.nih.gov/medlineplus/ency/article/001494.htm

GP notebook. Cervical polyp.2007 http://www.gpnotebook.co.uk/cathe/-16239 16541.htm.

National patient pathways. Management of cervical polyps. (http://www.pathways.scot.nhs.uk/polyps.htm )

Selim MA, Shalodi AD. Benign diseases of uterine cervix. Ruling out neoplasia a diagnostic priority. Postgrad Med. 1985 Jul;78(1):141-3.

Tirlapur SA, Adeyemo A, O'Gorman N, Selo-Ojeme D. Dan selo-ojeme. Clinico-pathological study of cervical polyps. Arch Gynecol Obstet. 2010;282:535-8.

Schnatz PF, Ricci S, O’Sullivan DM. Cervical polyps in postmenopausal women: is there a difference in risk? .Menopause. 2009;16:524-8.

Neri A, Kaplan B, Rabinerson D, Ovadia J, Braslavsky D. Cervical polyp in the menopause and the need for fractional dilatation and curettage. Eur J Obstet Gynecol Reprod Biol. 1995;62:53-5.

Berzolla CE, Schnatz PF, O’Sullivan DM, Bansal R, Mandavalli S, Sorosky JI. Dysplasia and malignancy in endocervical polyps. J Womens Health. 2007;16:1317-21.

Peterson WF, Novak ER. Endometrial polyps. Obstet Gynecol.1956;8:40-9.

Pallipady A, Illanthody S, Vaidhya R, Ahmed Z, Suvarna R, Metkar G et al. A clinic-morphological spectrum of non-neoplastic lesions of the uterine cervix at AJ-hospital Mangalore. J Clini Diagnos Res. 2011;5:546-50.

Jones MA, Young RH. Atypical oxyphilic metaplasia of the endocervical epithelium: A report of six cases. Int J Gynecol Pathol.1997; 16:99-102.

19.Nigatu B , Gebrehiwot Y, Kiros K, Eregete W.A five year analysis of histopathological results of cervical biopsies examined in a pathology department of a teaching hospital (2003-2007). Ethiop J Reprod Health. 2010;4:52-7.

Salim S, Won H, Nesbitt-Hawes E, Campbell N, Abbott J. Diagnosis and management of endometrial polyps: a critical review of the literature. J Minim Invasive Gynecol. 2011;18(5):569-81

Nwachokor FN, Forae GD. Morphological spectrum of non-neoplastic lesions of the uterine cervix in Warri, South-South, Nigeria. Niger J Clin Pract. 2013;16(4):429-32.

Sidhalingreddy, Biradar S, Akhila, Domble VD. Clinicopathological analysis of polypoid lesions of cervix. J Evol Med Dent Sci.2013;2(15):2563-70.

Saini S, Kanetkar SR. Histopathological study of lesions of uterine cervix. J Evid Based Med Healthc. 2016;3(103):5685-94.

Nelson AL, Papa RR, Ritchie JJ. Asymptomatic cervical polyps: can we just let them be? Women’s Health. 2015;11(2):121-6.

Senturk MB, Budak MS, Durukan OB, Cakmak Y, Yildirim A, Polat M. Clinicopathological evaluations of cervical polyps. Zeynep Kamil Tip Bulteni. 2015;46:98-101.

Younis MT, Iram S, Anwar B, Ewies AA. Women with asymptomatic cervical polyps may not need to see a gynaecologist or have them removed: an observational retrospective study of 1126 cases. Europ J Obstet Gynecol Reprod Biol. 2010;150:190-4.

Fauth CI, Franko A, Duan Q, Wood S, Duggan MA. Clinicopathological determinants of vaginal and premalignant-malignant cervico-vaginal polyps of the lower female genital tract. J Low Genit Tract Dis. 2011;15(3):210-8.