Wednesday, June 28, 2017

Cervical Polyps

Cervical polyps are friable, fleshy, finger like growths that emanate from the cervical os or endocervical canal.

Clinical features: They are typically asymptomatic, but may bleed with minimal trauma such as intercourse or douching. Single polyps are more common, but multiple polyps can occur.

         Cervical Polyps. Several fleshy fingerlike growths are seen protruding from the cervical os.

Etiology: The etiology of polyps varies and may be related to

  • infection, 
  • chronic inflammation, or 
  • excess estrogen.
Important Points to Remember: 

1. The majority of cervical polyps are benign, but all should be referred for ligation and histologic evaluation.
2. Cervical polyps are the most common benign neoplasm of the cervix.

Management: 
No treatment is necessary if the patient present in the emergency department(ED). Consider alternative causes of vaginal bleeding such as infection and pregnancy. 
Refer all patients with incidentally discovered polyps for outpatient gynecological evaluation.

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