Cervical polyps: evaluation of routine removal and need for accompanying D&amp;C

Büyükbayrak, Esra Eşim; Karsidag, A; Kars, Bülent; Sakin, Önder; Alper, Ayşe Gül Özyapi; Pirimoglu, Meltem; Ünal, Orhan; Turan, Cem

doi:10.1007/s00404-010-1405-5

Cited by 20 publications

(13 citation statements)

References 9 publications

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“…A previous study observed that pathological changes in patients with cervical polyps are frequently endometrial in origin [4]. Few studies recommend endometrial sampling in addition to polypectomy irrespective of their symptoms [9][10][11]. However, according to other studies, polypectomy in cases with asymptomatic polyps was not costeffective and should be recommended only for symptomatic cases [12,13].…”

Section: Introductionmentioning

confidence: 99%

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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Section: Introductionmentioning

confidence: 99%

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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“…Cervical polyps are considered to be focal hyperplastic protrusions of endocervical folds rather than true neoplasms. 24 Most patients present during the perimenopausal period in the fifth decade of life. Patients may present with menorrhagia, postmenopausal bleeding, and vaginal discharge.…”

Section: Cervical Massesmentioning

confidence: 99%

“…Approximately 0.1% of cervical polyps are associated with malignancy, and approximately 10% of patients with cervical polyps also have coexisting endometrial disorders (eg, hyperplasia, polyp, and carcinoma). 24 Cervical cancer is the third most common cancer in women worldwide and is most common in developing countries. Risk factors for cervical cancer include infections with high-risk human papillomavirus (types 16 and 18), oral contraceptive pills, low socioeconomic status, smoking, multiple sexual partners, human immunodeficiency virus infection, and other sexually transmitted diseases.…”

Section: Cervical Massesmentioning

confidence: 99%

Ultrasonography Evaluation of Pelvic Masses

Chu

Coquia

Hamper

2014

Radiologic Clinics of North America

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“…Patients may also present with abnormal vaginal bleeding. The prevalence of malignancy and dysplasia is relatively uncommon (0.1% and 0.4%, respectively) . Pathological evaluation is needed to confirm and/or rule out other diagnoses.…”

Section: Cervixmentioning

confidence: 99%

Sonovaginography: A Useful Technique in the Assessment of the Lower Genital Tract

Johnson

Yegul

Balcacer

2017

J of Ultrasound Medicine

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Conventional sonographic evaluation of the cervix and vagina is compromised by inattention, poor subject contrast, and obscuring artifacts. We describe a technique involving distention of the vaginal canal and fornices with ultrasound gel, providing an acoustic window for improved definition of the cervix and vagina. This exam is usually performed in concert with transvaginal sonography, but a transabdominal or transperineal approach may be more useful in selected scenarios. A wide variety of formerly sonographically inconspicuous conditions are demonstrable with this technique, many of which were undetected or inadequately characterized on the physical exam. Cervical polyps were the most commonly seen abnormality.

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Cervical polyps: evaluation of routine removal and need for accompanying D&C

Cited by 20 publications

References 9 publications

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

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

Ultrasonography Evaluation of Pelvic Masses

Sonovaginography: A Useful Technique in the Assessment of the Lower Genital Tract

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