Asymptomatic Cervical Polyps: Can We Just Let them Be?

Nelson, Anita L.; Papa, Rhett R; Ritchie, Julia

doi:10.2217/whe.14.86

Cited by 12 publications

(5 citation statements)

References 21 publications

(40 reference statements)

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“…22,23 Nelson LA et al also found endocervical polyps (57.1%) as the most common followed by inflamed endocervical polyps (21%) and next most frequent-endometrial polyp (6.2%). 24 In our study there were no malignancy or dysplasia reported in the cervical polyps .Senturk MB et al Mackenzie I et al and Tirlapur SA et al also found no features of atypia, dysplasia or malignancy. 7,12,25 This contradicts the findings of Berzolla CE et al who found a prevalence rate of 0.1% for malignancy and Schnatz PF et al who found the prevalence rate of 1.4 -2.7% for any abnormality defined as atypia, dysplasia or malignancy.…”

Section: Discussionsupporting

confidence: 43%

Clinicopathological analysis of cervical polyps

Gopalan

Rajendiran

Ranganathan

2017

Int J Reprod Contracept Obstet Gynecol

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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 polypsMethods: 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

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Section: Discussionsupporting

confidence: 43%

Clinicopathological analysis of cervical polyps

Gopalan

Rajendiran

Ranganathan

2017

Int J Reprod Contracept Obstet Gynecol

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“…We found dysplastic changes and malignant lesions in cervical polyp histopathology, cervical smear cytology, and endometrial biopsy in both asymptomatic and symptomatic cases. A retrospective study reported no premalignant or malignant lesion in patients with asymptomatic cervical polyps [20].…”

Section: Discussionmentioning

confidence: 96%

Cervical polyp: evaluating the need of routine surgical intervention and its correlation with cervical smear cytology and endometrial pathology: a retrospective study

et al. 2020

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Objective To determine the frequency of premalignant and malignant lesions in cervical polyps in order to examine whether cervical polyps need to be removed routinely and also to appraise its association with cervical smear cytology and endometrial pathologies. Methods We retrospectively reexamined the hospital records of 299 cases over a period of 5 years. All patients were segregated into perimenopausal and postmenopausal groups according to their menopausal status. The groups were compared in terms of histological results of cervical polyp biopsy, endometrial pathologies, and cervical smear cytology. Pearson's χ 2 test and Fisher's exact test were used for statistical analysis, and a P-value of <0.05 was accepted as statistically significant. Results In the histopathological reports of cervical polyps, premalignant lesions were found in 2% of cases, and only 0.3% of malignant lesion was observed in menopausal women. Subsequently, no malignancy was noted in cervical smear cytology for both groups. Premalignant and malignant lesions in endometrial histopathology findings were 1.33% and 0.66%, respectively. There was a statistically significant association between the menopausal status of the patient and cervical smear cytology and endometrial pathology, but the histological findings were not statistically significant in relation to the symptomatic status of the patients. Conclusion As per the results, we strongly suggest the removal of all cervical polyps with subsequent histological review. The evaluation of cervical smear cytology prior to polypectomy can provide information about its malignancy potential. We believe that along with cervical polypectomy, endometrial sampling should be recommended, especially for postmenopausal women.

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“…Both the studies had finding concordant to findings in our study. 17 None of the cervical polyps removed in our study showed features of atypia, dysplasia or malignancy. This is in discordance with the findings of Berzolla et al who found a prevalence rate of 0.1% for malignancy and Schnatz et al who found a prevalence rate of 1.4-2.7% for any abnormality.…”

Section: Discussionmentioning

confidence: 53%

Cervical polyp: histomorphological spectrum of ninety-two cases a five-year study

Kundu

Hooda²,

Parul³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: Cervix is vulnerable to many pathological changes ranging from inflammation to malignancy. Cervical polyp is one of the commonest cervical lesion seen in about 2-5% of women. They are more frequent in parous women and are mostly asymptomatic. Symptomatic polyps are frequent in the premenopausal women with most common clinical presentation of AUB(abnormal uterine bleed). Usually they are benign but there are chances of malignant transformation. This study was done to analyse the clinico-pathological spectrum of cervical polyp at a tertiary care institute Methods: A retrospective study was conducted in department of Pathology, BPS GMC for Women Khanpur Kalan, Sonepat over a period of 5 years. All patients who had been diagnosed with cervical polyp clinically and underwent subsequent histopathological sampling were included. Results: A total of 92 cases were included in the study. AUB was the most common clinical presentation of these patients with cervical polyp. Most common age group was 30 to 55 years. Out of 92 cases 47 were of endocervical type polyp, followed by 20 cases of leiomyomatous polypConclusions: To conclude in this study we found that the most common type of cervical polyp is endocervical type. Keeping in view the malignant transformation histopathological sampling of polyp is essential.

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Asymptomatic Cervical Polyps: Can We Just Let them Be?

Cited by 12 publications

References 21 publications

Clinicopathological analysis of cervical polyps

Clinicopathological analysis of cervical polyps

Cervical polyp: evaluating the need of routine surgical intervention and its correlation with cervical smear cytology and endometrial pathology: a retrospective study

Cervical polyp: histomorphological spectrum of ninety-two cases a five-year study

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