Clinicopathological analysis of cervical polyps

Gopalan, Ushadevi; Rajendiran, Sathiyakala; Ranganathan, Kannan

doi:10.18203/2320-1770.ijrcog20171421

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…18,8 Gopalan et al, Tirlapur, Senturk et al and Mackenzie et al also found no features of atypia, dysplasia or malignancy. 1,14,19,20 Mackenzie at al also questioned the removal of polyp unless symptomatic, similar to this study asymptomatic cases also came up in our study. 20…”

Section: Discussionsupporting

confidence: 87%

“…A study by Gopalan et al reported endocervical mucous polyp to be the most common lesion (50.5%) followed by benign endometrial polyp (21.5%) and leiomyomatous polyp in 13.1%. 1 Another study by Nelson et al also found endocervical polyp (57.1%) to be the most common followed by inflamed endocervical polyp (21%). Both the studies had finding concordant to findings in our study.…”

Section: Discussionmentioning

confidence: 92%

“…Cervical polyps have documented to be the most frequent pathological condition of the cervix with a prevalece of 2-5% in women among general population. 1 They usually occur because of chronic irritation to cervix leading to focal hyperplastic protrusions of the endocervical folds, including the epithelium and substantia propria. 2 Cervical polyp are seen more commonly in parous women over 20 years of age as they are commonly exposed to agents like infections.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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

Kundu

Hooda²,

Parul³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

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“…Saravanan et al, 2015, documented only about six percent of cases in their study of cervical lesions [46]. These fibroepithelial proliferations were observed to occur most commonly in the 4 th and 5 th decades of life as had been described earlier [47,48,49,50]. The current study has shown that inflammatory squamous (ec-tocervical) polyps were the most abundant variety in contrast to that described by Sidhalingreddy et al, 2013, where most polyps were endocervical in origin [51].…”

Section: Discussionsupporting

confidence: 63%

A 10-Year Histopathologic Audit of Uterine Cervical Biopsies in Warri, Nigeria

Odokuma

2019

Galician med. j.

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The objective of the research was to determine the types, patterns of uterine cervical lesions and specific age distributions in which they occur. Methods. The data for this study were obtained from the records of patients seen in consultations in the Department of Histopathology, Central Hospital Warri during the 10-year period from 2007 to 2016. Relevant clinical information was extracted from the available histopathology records and permission for this study was conformed with the provision of the Declaration of Helsinki in 1995. Results. The study revealed that the peak age range for malignant neoplasm was between 40-49 years (27.52%) with the general age range between (20-80 years) mean age 52.39±13.69. Non-keratinizing squamous cell carcinoma constituted majority of squamous cell tumours (55.05%), while the keratinising variety was the second most common (26.61%) one. The study further revealed that ectocervical fibroepithelial polyps were more common than endocervical tumours especially in the reproductive years (30-50 years) with only one case of atrophic polyp recorded in a woman in the sixth decade. The study documented that 58 (22.48%) of the cervical biopsies were inflammatory with most cases occurring in the ectocervix (94.80%). Most cases of inflammation of the cervix (cervicitis) were disposed between 30 and 59 years with the peak age group occurring in the 4th age group (30-39 years). Conclusions. This audit of uterine cervical biopsies established that malignant tumours were the most common neoplasms. Squamous cell carcinomas accounted for most carcinomas. Similarly, leiomyoma was demonstrated as predominant stromal tumour.

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Histological changes of endocervical polypoid lesions in women at reproductive age

Al-Hamdany,

Fadhil

2024

MJBL

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Background: Endocervical polyps (ECP) are fragile benign protrusions commonly affecting 2%–5% of women during the reproductive age. Aim: This study aimed to identify the histopathological changes of clinically identified endocervical polypoid lesions during the reproductive age to detect any premalignant or malignant transformation if present. The objective is to assist the clinicians to decide whether the cervical polyps should be excised or not. Materials and Methods: Sixty specimens of the resected cervical polyps were obtained from Al-Salaam Teaching Hospital in Mosul city during the period from June 2021 to February 2022, women diagnosed to have cervical polyps on per speculum examination were given a time to be operated on with exclusion of pregnant, postmenopausal women, those on hormone replacement therapy, and those below 20 years. After polypectomy, fixation of biopsies in 10% buffered formalin was done followed by processing and staining with hematoxylin and eosin for histological examination. Chi-square test was used for interpretation of the histological findings. Results: The study revealed that 52% of the enrolled women were in the range of 40–49 years of age. Squamous metaplasia and benign microglandular hyperplasia were detected equally in 25% of the study group. Nabothian cyst was observed in 8%, whereas leiomyoma presenting as cervical polyp in 6%. Fortunately, no malignant changes were reported in the examined 60 cases and the only serious lesion was cervical intraepithelial neoplasia (CIN) observed in 2% of the examined polyps. Conclusion: we conclude as the incidence of malignant transformation of endocervical polyp is low in women in reproductive age and the only critical lesion is in situ intraepithelial neoplasia (CIN), it is proposed to follow an expectant management without interference and those patients can be only followed up to improve their health.

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Clinicopathological analysis of cervical polyps

Cited by 3 publications

References 13 publications

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

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

A 10-Year Histopathologic Audit of Uterine Cervical Biopsies in Warri, Nigeria

Histological changes of endocervical polypoid lesions in women at reproductive age

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