Cervical polyp: evaluating the need of routine surgical intervention and its correlation with cervical smear cytology and endometrial pathology: a retrospective study

Bhabani Pegu; Bheemanathi Hanuman Srinivas; Thangamuthu Sri Saranya; Rajeswari Murugesan; Smitha Priyadarshini Thippeswamy; Bhanu Pratap Singh Gaur

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자료유형: 학술저널

저자정보: Bhabani Pegu (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Bheemanathi Hanuman Srinivas (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Thangamuthu Sri Saranya (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Rajeswari Murugesan (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Smitha Priyadarshini Thippeswamy (Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)) Bhanu Pratap Singh Gaur (Mahatma Gandhi Medical College and Research Institute (MGMCRI))

저널정보: 대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제63권 제6호

발행연도: 2020.1

수록면: 735 - 742 (8page)

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ObjectiveTo determine the frequency of premalignant and malignant lesions in cervical polyps in order to examine whethercervical polyps need to be removed routinely and also to appraise its association with cervical smear cytology andendometrial pathologies. MethodsWe retrospectively re-examined the hospital records of 299 cases over a period of 5 years. All patients weresegregated into perimenopausal and postmenopausal groups according to their menopausal status. The groupswere compared in terms of histological results of cervical polyp biopsy, endometrial pathologies, and cervical smearcytology. Pearson’s χ2 test and Fisher’s exact test were used for statistical analysis, and a P-value of <0.05 was acceptedas statistically significant. ResultsIn the histopathological reports of cervical polyps, premalignant lesions were found in 2% of cases, and only 0.3%of malignant lesion was observed in menopausal women. Subsequently, no malignancy was noted in cervical smearcytology for both groups. Premalignant and malignant lesions in endometrial histopathology findings were 1.33%and 0.66%, respectively. There was a statistically significant association between the menopausal status of the patientand cervical smear cytology and endometrial pathology, but the histological findings were not statistically significantin relation to the symptomatic status of the patients. ConclusionAs per the results, we strongly suggest the removal of all cervical polyps with subsequent histological review. Theevaluation of cervical smear cytology prior to polypectomy can provide information about its malignancy potential. We believe that along with cervical polypectomy,endometrial sampling should be recommended,especially for postmenopausal women.

#Cervical polyp #Cervical smears #Polypectomy #Endometrial pathology

참고문헌 (28)

참고문헌 신청

Farrar HK Jr / 1961 / Benign tumors of the uterine cervix / Am J Obstet Gynecol 81:124~137

Khachikyan I / 2014 / Current diagnosis & treatment:obstetrics & gynecology / Lange (McGraw-Hill) :657~659

Cortan RS / 1992 / Robbins pathologic basis of disease / Elsevier :1042~1048

Schnatz PF / 2009 / Cervical polyps in postmenopausal women : is there a difference in risk? / Menopause 16:524~528

Berzolla CE / 2007 / Dysplasia and malignancy in endocervical polyps / J Womens Health(Larchmt) 16:1317~1321

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