Giant Cervical Polyp Research Articles

A Case of Giant Cervical Polyp

Introduction: Introduction: Cervical polyps are small pedunculate, often sessile neoplasm of the cervix. It is not known whether this is due to chronic inflammation, or abnormal local responsiveness to hormonal stimulation, or localized vascular congestion of cervical blood vessels. They occur most frequently in multiparous women in the fifth decade of life. Case Description: Here, we are reporting a case of a giant cervical polyp in a 38-year-old nulliparous lady who reported heavy menstrual bleeding and mass per vagina. Conclusion: Since a giant cervical polyp can mimic chronic inversion of the uterus, cervical fibroid, endometrial polyp, and cervical malignancy, it requires ruling out of these conditions before GnRH therapy.

Giant Cervical Polyp in Primigravida: A Rare Case Report

Cervical polyp is the most common benign lesion arising from the cervix. It is usually found incidentally unless it is symptomatic or gargantuan in size protruding from the introitus. The giant cervical polyp with size greater than 4 cm are rare in gravid women. Most of the obstetricians would prefer a conservative management for polyps in pregnancy. The present unusual case is that of a 30-year-old primigravida, 19 weeks gestation with giant, symptomatic, significantly growing endocervical bifid appearing polyp. The case was managed with transvaginal polypectomy without any need of cervical cerclage. The giant polyp specimen measuring 7×3 cm though appeared clinically malignant, histopathology confirmed its benign etiology. It is prudent to excise cervical polyp, when symptomatic and suspicious of malignancy. The gravid women undergoing cervical polypectomy may carry risk of premature delivery and hence pregnancy has to be carefully supervised.

Giant Polyp of the Cervix - A Case Report

A 45-year old woman was diagnosed with a giant polyp arising from the cervix of the uterus and reaching out 4-5cms beyond the vulva. The polyp was excised with diathermy knife without complications and was benign on histological examination. At four years there has been no recurrence. Giant cervical polyps are rare, with only about 20 cases reported in the international literature. The field of giant cervical polyps is discussed.

Giant Polyp of Uterine Cervix: A Case Report and Brief Literature Review

Cervical polyps are most commonly seen in the female with uterine bleeding. On the other hand, giant cervical polyps with a size greater than 4 cm are rare and until now only several cases have been described in literature. The size and the clinical presentation can mimic a cervical neoplasia. The management is surgical and can be conservative regarding to the benign pathological feature of this entity. We report the case of a giant cervical polyp of 12.0 cm which was protruding from the external cervical os and that developed spontaneously in a multiparous 48-year-old woman who clinically presented vaginal bleeding. Colposcopic examination showed a mass originating from posterior lip of external cervical os. On MRI, there was the appearance of multicystic lesion with an inner solid component. We performed that the lesion was resected by the ultrasonic harmonic scalpel. The histological examination showed benign polyp. At 10 months’ follow-up, there was no recurrence seen after surgery. Although carcinomatous change occurs in 1.7% of cervical polyps, malignant degeneration did not occur in the previous reported cases. The diagnosis, management and outcome of this rare entity had been reviewed according to the literature.

Hysteroscopic Resection of a Giant Cervical Polyp with Preservation of Hymen

Objectives: To report a patient who had hysteroscopic cervical polyp removal in a day care setting with preservation of the hymen. Setting: In a tertiary academic referral center, hysteroscopic cervical polyp resection was performed for a 26-year-old female with menorrhagia. Patient: 26 years old female with a giant cervical polyp. Intervention: Hysteroscopic cervical polypectomy, case study. Main outcome measures: successful hysteroscopic resection of a 5 cm polyp with preservation of the hymen. Results: Hysteroscopic resection of a 5 cm cervical polyp along with preservation of the hymen, is a more conservative alternative to conventional cervical poylpectomy. The result was the improvement of menorrhagia and patient satisfaction in terms of preserving her hymen. Conclusions: Hysteroscopic resection of a cervical polyp in virgin females is possible with preservation of their hymen and this should be considered as a first option in patients wishing to conserve their virginity.

A Case of Giant Cervical Fibroid Polyp Prolapsed outside Introitus in Menopausal Women: Presenting as Diagnostic Dilemma

A Case of Giant Cervical Fibroid Polyp Prolapsed outside Introitus in Menopausal Women: Presenting as Diagnostic Dilemma

Prolapsed Giant Cervical Fibroid Polyp

ABSTRACT Giant cervical fibroid polyps causing diagnostic dilemma are rarely encountered in gynecologic practice. The objective of this case report is to document a case of huge cervical polyp large enough to cause prolapse of the otherwise normal uterus and cervix. A 35 years old multipara presented with heaviness in the vagina, pain in lower abdomen for 2 years and something coming out per vaginum, off and on vaginal bleeding and foul smelling discharge for 1 week. On local examination, grossly hypertrophied cervix was seen prolapsed outside the introitus and a large mass about 20 × 18 cm apparently arising from the posterior lip of the cervix. On per rectal examination, uterus was atrophied. Pap smear and showed only inflammatory changes with no evidence of malignancy. After four blood transfusion and control of local infection with systemic antibiotic, patient was taken for surgery. Postoperative recovery was uneventful histopathological report confirmed fibroid-polyp. Although giant cervical fibroid is rare, it may masquerade as neglected 3rd degree uterovaginal prolapse or massive enterocele as in our case. Proper evaluation is needed to make an accurate diagnosis, anticipate operative challenges and strike a judicious and rational approach about deciding the route of hysterectomy. How to cite this article Agarwal M, Singh S, Agarwal R, Jaiswal S. Prolapsed Giant Cervical Fibroid Polyp. J South Asian Feder Obst Gynae 2016;8(1):77-78.

Dev Servikal Poliple Komplike Olan Gebelik

Serviksin en sık karşılaşılan lezyonlarından biri olan servikal polip, tüm kadınların %2-5'inde görülür. Genellikle 40?li yaşlardan sonra ortaya çıkar ve vajinal muayene esnasında tesadüfen tanı alırlar. Servikal poliplerin boyutları genelde 2 santimetrenin altındadır. Dev polip, polip boyutunun 4 santimetrenin üzerinde olması seklinde tanımlanır ve klasik poliplerin nadir bir şeklidir. Servikal poliplerin gebelikteki sıklığı bilinmemektedir. Ayrıca, servikal poliplerin gebelikte başvuru şekli, tanısı ve nasıl yönetildiğine dair literatür bilgisi oldukça sınırlıdır. Biz burada genç bir gebede karşılaştığımız dev bir servikal polip vakasını sunuyoruz. Bu patoloji oldukça nadir görülmektedir. Literatür taramasında dev servikal poliple komplike olan sadece 2 gebelik vakasıyla karşılaştık. Servikal dilatasyona sebep olan servikal polip vakası ise daha önce hiç bildirilmemiştir. Cervical polyp is one of the most common lesions of cervix that occurs in about 2-5% all of women mostly after the forth decade of life. Cervical polyps are typically diagnosed incidentally during vaginal examination. Their size is often small, with mostly less than 2 centimeters. Giant cervical polyp is an uncommon variant of classical polyps defined by with a size greater than 4 centimeters. Prevalence of cervical polyp in pregnancy is unknown. There are very limited reports available on the presentation, diagnosis and management of cervical polyps in pregnancy. We describe a case of giant cervical polyp in a young primigravida in pregnancy. This pathology is seen rarely. We found only two cases that pregnancy complicated with giant polyp in the literature. It has never been reported as a cause of cervical dilatation in pregnancy.

Giant Cervıcal Polyp with Mesonephric Duct Remnants: Unusual Cause of Vaginal Bleeding in an Adolescent Girl

Background: Cervical polyps (CP) are quite common in adults, they are extremely rare in children and adolescents. CP containing mesonephric duct remnants (MDR) are few millimeters in size and seldom grossly visible. Case: A 14-year-old female admitted with massive vaginal bleeding with an intact wide hymeneal opening. Pelvic MRI revealed 47 mm × 25 mm × 35 mm polypoid mass originating from the endometrial cavity. During vaginoscopy, a polypoid mass was detected at 9 o'clock position of right lip of ectocervix and was totally excised. Light microscopy showed CP including small round or branched glands containing inspissated eosinophilic secretions and patchy chronic inflammatory infiltrate. The patient was diagnosed as gaint CP containing MDR. Conclusion: Giant CP is an uncommon variant of classical polyps and exhibit distinct clinical and pathologic features. However, MDR are benign lesions of cervix, detailed histopathological evaluation should be performed to all CP to differentiate malignant lesions.

Severe Metrorrhagia Caused by Giant Cervical Polyp in a Virgin

Background: Huge cervical polyps are rarely encountered in gynecologic practice. A cervical polyp is a growth arising from the mucosal surface of the ectocervix or the endocervical canal. A cervical polyp may be the result of infection, an abnormal response to increased levels of estrogen, and local congestion of cervical vessels. Cervical polyps are typically benign and are rarely seen prior to the onset of menarche. Case: This article describes a case of a giant cervical polyp of 10 cm occurring in a 16-year-old virgin who clinically presented with severe metrorrhagia. Results: The polyp was excised abdominally with no recurrence 6 months after surgery. Conclusions: Giant cervical fibroids are rare but may occur at any age. Accurate diagnosis is needed before any intervention. Vaginal polypectomy is the treatment of choice for most of cervical polyps. Histologic examination for all cervical polyps is recommended to exclude malignancy. (J GYNECOL SURG 29:327)

Uterine Prolapse Complicated With a Giant Cervical Polyp

Uterine prolapse with giant cervical polyp is a rare combination. Although uterine prolapse is common among elderly and menopausal women, giant cervical polyps are commonly encountered in young reproductive-age adults. A 55-year-old, para 7, Tanzanian woman, 7 months postmenopausal, presented with history of a protruding vaginal mass for 3 months. She also had a third-degree uterine prolapse with the cervix beyond the hymen and a huge, ulcerated, round mass on the anterior lip of the cervix. The mass had a large stalk, bled easily on touch, and measured approximately 6 × 6 cm in its largest diameter. The external cervical os and posterior cervical lip were identified and appeared normal. Transvaginal hysterectomy was performed with unremarkable recovery. Giant cervical polyp associated with uterine prolapse, although rare, can occur in menopausal women. Transvaginal hysterectomy as was done in this patient may be all that is required in benign polyps.

Giant cervical polyp complicating uterine fibroid and masquerading as cervical malignancy

Introduction: Huge cervical polyp causing diagnostic dilemma is rarely encountered in gynecologic practice. The objective of this study is to document a case of huge cervical polyp masquerading as cervical cancer seen and managed in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Case Report: A 39-year-old trader para 5 + 0 who presented at the gynecologic unit with a 7-year history of fleshy mass protruding from the vagina which had been progressively increasing in size but was reducible. Physical examination revealed severe pallor, 16-week sized abdomino-pelvic firm irregular mass, and a huge firm mass protruding through the vagina, measuring 30 cm by 20 cm. The vaginal mass was irregular in shape and occupied the whole of the vagina. The cervix was not reachable. Pelvic ultrasonography revealed features of multiple intramural and subserous fibroids and a right simple cystic adneaxeal mass about 6 cm in diameter. Anemia was corrected, and at examination under anesthesia, a diagnosis of huge cervical polyp (arising from the posterior cervix) with multiple uterine fibroids was made. She had vaginal polypectomy, total abdominal hysterectomy, and bilateral salpingo-ophorectomy using an abdomino-perineal approach. She did well postoperatively and subsequently on follow-up. Histology confirmed cervical fibroid polyp and uterine leiomyoma. Conclusion: Although giant cervical fibroid is rare, it may masquerade as cervical malignancy or uterine inversion. Proper evaluation is needed to make an accurate diagnosis.

Giant Endocervical Polyp Mimicking Cervical Malignancy: Primary Excision and Hysteroscopic Resection

Giant cervical polyps are characterized by an unusually large size and appear clinically as malignant. A 35-year-old woman had increased vaginal discharge and lower abdominal discomfort. At examination, a fist-sized, hard, consistent mass was found in the vagina. Pelvic magnetic resonance imaging revealed a 12.6 × 8-cm solid tumor with internal papillary growth within the entire vaginal cavity. The tumor base was suspected to have originated from the endocervix by a connecting stalk. Primary excision of the tumor was performed via the vagina, and the remnant tissue was completely removed at hysteroscopic resection. The final histopathologic findings confirmed a benign giant cervical polyp.

Giant cervical polyp: a case report and review of a rare entity

If cervical polyps are a common pathology in the female adult population, giant cervical polyps with a size greater than 4 cm are rare and until now only several cases have been described in literature. The size and the clinical presentation can mimic a cervical neoplasia. The management is surgical and can be conservative regarding to the benign pathological feature of this entity. We report the case of a giant cervical polyp of 5.5 cm occurring in a multiparous 47-year-old woman who clinically presented vaginal bleeding. The lesion was resected by electrosurgery with no recurrence 7 months after surgery. The diagnosis, management and outcome of this rare entity had been reviewed according to the literature.

Giant Cervical Polyps: Report of two Cases and Literature Review

We report two patients with benign giant cervical polyps. A 47-year-old multiparous woman complained of a protruding mass from her vagina for 6 months. On pelvic examination, there was a large cervical polyp measuring 7 × 2.5 cm arising from the endocervix. The polyp was excised by electrocauterization at the base. The pathological report revealed no evidence of malignancy in the polyp. A 45-year-old nulligravid woman suffered from menorrhagia for 2 months and a mass protruding from the vagina was noted for 10 days. On pelvic examination, there were two cervical polyps. One was 5 × 2 cm and arose from the posterior lip of the cervix and the other was 1 × 1 cm and arose from the right lateral lip. The polyps were excised by electrocauterization. The pathological report revealed benign cervical polyps. Giant cervical polyp is uncommon and malignancy has not been reported in the 11 cases in the literature. Excision was adequate for these lesions.

Protruding Giant Cervical Polyp in a Young Adolescent with a Previous Rhabdomyosarcoma

Giant cervical polyps are rare entities, with only 8 reported cases in the international literature (MEDLINE 1966–2002). Of these cases, only one has been described in the pediatric population. There has been no report of a giant cervical polyp occurring in the older, although early, adolescent period. The discovery of a giant cervical polyp in a young adolescent is a gynecological oddity. The immense size of giant cervical polyps, together with their menacing appearance and unusual presentation, can simulate a malignant neoplasm. Care must be taken in their diagnosis and management so that the patient's fertility is not compromised. We report on a young adolescent girl with a previous history of a rhabdomyosarcoma (RMS), who presented with a giant cervical polyp protruding from the vaginal introitus. The literature on this entity is reviewed.

Giant cervical polyp

A giant cervical polyp occurring in a 56-year-old multiparous woman is described. Although the polyp was benign, total hysterectomy and bilateral salpingo-oophorectomy were carried out because of incidental cystic and adenomatous hyperplasia of the endometrium.