Giant endometrial polyp protruding from the external cervical os in a postmenopausal woman: magnetic resonance imaging and hysteroscopic findings

Ahmet Said Çil,Duyga Kara,Murat Bozkurt,Beril Guler

doi:10.17077/2154-4751.1230

Ahmet Said Çil, Duyga Kara + Show 2 more

Open Access

https://doi.org/10.17077/2154-4751.1230

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Abstract

Endometrial polyps are most commonly seen in the postmenopausal women with uterine bleeding, although the giant polyps which originate from the uterine cavity and protruding from the cervical os are rare. Several cases which have been described in the literature are usually developed secondary to tamoxifen use, and the polyps do not extend or protrude from the external cervical os. Most of the polyps protruded from the cervical os can mimic a cervical neoplasia or endocervical polyp. We report the case of a giant endometrial polyp (8x4x3 cm in size) which was protruding from the external cervical os and that developed spontaneously without tamoxifen use in a multiparous 73 -year-old woman presenting with vaginal bleeding. Hysteroscopic polypectomy was performed and no recurrence was seen at 6 months after surgery. Diagnosis, management and outcome of this rare entity have been discussed according to the literature.

Highlights

Endometrial polyps are localized overgrowths of endometrial tissue composed of variable amount of glands, stroma, and blood vessels covered by epithelium
Giant endometrial polyps, which fill the endometrial cavity, or protruding endocervical polyps with a size greater than 4 cm are published in several cases, endometrial giant polyp
We describe the case of a giant 8x4x3 cm endometrial polyp originating from the posterior wall of the uterine cavity that extended to the external cervical os and protruded into the vagina

Summary

Introduction

Endometrial polyps are localized overgrowths of endometrial tissue composed of variable amount of glands, stroma, and blood vessels covered by epithelium. Endometrial polyp removal is generally performed by ambulatory hysteroscopic polypectomy.[2,3] Giant polyps usually occur secondary to high estrogen levels or tamoxifen therapy after breast cancer.[4,5] Rising polyps usually originate from the endocervix and are called endocervical polyps.[2] giant endometrial polyps, which fill the endometrial cavity, or protruding endocervical polyps with a size greater than 4 cm are published in several cases, endometrial giant polyp. Giant endometrial polyp protruding from the external cervical os in a postmenopausal woman: magnetic resonance imaging and hysteroscopic findings. Rising to the cervix are very rare.[5] In this report, we describe the case of a giant 8x4x3 cm endometrial polyp originating from the posterior wall of the uterine cavity that extended to the external cervical os and protruded into the vagina. The clinical, radiological, hysteroscopic and histopathologic data of this entity have been discussed according to the literature

Case Report

Discussion