Polypoid Endometriosis of the Cervix

Abstract

Background: Polypoid endometriosis of the cervix is an uncommon variant of endometriosis that could be mistaken for a neoplasm on clinical, intraoperative, and gross examination. It may be asymptomatic or may present with a diverse range of persistent symptoms and even life-threatening haemorrhage. We report a 47 y old woman with polypoid endometriosis in the cervix who was referred to us because of uncertain diagnosis. Case report: A 47 y old woman presented to the gynaecological clinic with metrorrhagia, dysmenorrhea, and irregular menstrual cycles, associated with fatigue and loss of appetite and weight. She had received blood transfusion for anaemia secondary to vaginal bleeding, but otherwise had no significant medical history. Speculum examination revealed a large ulcerated polyp arising from the cervix. The differential diagnoses were cervical polyp vs. neoplasm. Polypectomy was performed. Histopathological examination confirmed polypoid cervical endometriosis. Discussion: Most patients with polypoid endometriosis of the cervix present with menorrhagia. Polypoid endometriosis can mimic cervical neoplasia clinically, radiologically, and intraoperatively. The cervix uteri are an uncommon site for endometriosis. However, the number of reports is increasing, and this differential must be kept in mind when assessing a patient with cervical polyp. Conclusion: Polypoid endometriosis should be considered in the differential diagnosis during evaluation of polypoid lesions of the cervix.