Cervical Polyps

Chapter 103 Cervical Polyps



INTRODUCTION



Description: Cervical polyps are benign fleshy tumors that arise from the cells of the endocervical canal (most common) or the ectocervix.

Prevalence: Four percent of gynecologic patients, most common benign growth of the cervix.

Predominant Age: 40s to 50s (multiparous women). (Ectocervical polyps predominate in postmenopausal women.)

Genetics: No genetic pattern.


ETIOLOGY AND PATHOGENESIS



Causes: Thought to arise as a result of inflammation and the focal hyperplasia and proliferation that it causes.

Risk Factors: More common in multiparous women, history of cervical infection, oral contraceptive use.


CLINICAL CHARACTERISTICS



Signs and Symptoms



• Asymptomatic (found on routine examination)

• Intermenstrual spotting

• Postcoital spotting

• Smooth, soft, reddish-purple to cherry-red, friable mass at the cervical os, varying from a few mm to 4 cm in size; may bleed when touched

• Leukorrhea (uncommon)


DIAGNOSTIC APPROACH



Differential Diagnosis



• Endometrial polyp

• Cervical cancer

• Prolapsed leiomyomata (3% to 8% of myomas are cervical)

• Cervical eversion

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Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Cervical Polyps

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