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

Abstract

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.

Surgical outcomes of laparoscopic trachelectomy following supracervical hysterectomy: a multicenter study

“…The length of hospital stay in the current study was 4 days (range, [4][5]. This was longer than that reported by Vieira et al [19] who reported a short hospital stay of 1 day (range, 1-3) in the minimally invasive group.…”

“…Cervical polyps may be indicative of cervical or endometrial pathologies. Recent studies have reported that cervical polyps were associated with premalignant lesions in 2% of cases, and more seriously, 0.3% were associated with malignant lesions [ 4 , 5 ]. Other common symptoms after supracervical hysterectomy are abnormal offensive discharge, chronic pelvic pain, and impaired sexuality.…”

Analysis on pregnancy outcomes and risk factors of cervical polypectomy during the first and second trimester pregnancy

“…Others believe that patients undergoing polypectomy in pregnancy have high risks of miscarriage or spontaneous premature delivery [7][8][9]. Although most cervical polyps are benign, malignant change can be found in 0.2-1.63% of cases in the general population [1,10,11]. In pregnant persons the risk of malignancy is not clear and limited reports have describe rare forms of cancerous cervical polyps [12][13][14].…”

“…[7][8][9] Although most cervical polyps are benign, malignant change can be found in 0.2%-1.63% of cases in the general population. 1,10,11 In pregnant persons, the risk of malignancy is not clear and limited reports have describe rare forms of cancerous cervical polyps. [12][13][14] There is a lack of evidence to evaluate the risk for patients with cervical polyps and management to provide full information to patients on their chances of a healthy pregnancy.…”

Analysis on Pregnancy Outcomes and Risk Factors of Cervical Polypectomy During the First and Second Trimester Pregnancy

“…Others believe that patients undergoing polypectomy in pregnancy have high risks of miscarriage or spontaneous premature delivery [7][8][9]. Although most cervical polyps are benign, malignant change can be found in 0.2-1.63% of cases in the general population [1,10,11]. In pregnant persons the risk of malignancy is not clear and limited reports have describe rare forms of cancerous cervical polyps [12][13][14].…”