A cervical polyp is a polypoid growth projecting into the cervical canal. It can be one of the most common causes of intermenstrual vaginal bleeding.
Most patients are peri-menopausal at the time of presentation, especially in the 5th decade of life.
More than half of cases are asymptomatic. Symptoms can include menorrhagia, post-menopausal bleeding, contact bleeding, and vaginal discharge. The diagnosis is made primarily with hysteroscopy.
Histologically, cervical polypoid lesions encompass a spectrum pathologic entities which can include : endocervical or endometrial tissue with metaplasia, inflammation or malignancy, leiomyoma, or even blood clot.
The polyps are usually pedunculated, often with a slender pedicle of varying length, but some can be sessile.
Endocervical polyps are usually demonstrated as masses with or without cysts filling the endocervical or vaginal canal
Can progress into carcinoma of the cervix in ~ 1% of cases
Treatment and prognosis
Surgical removal is often the treatment of choice. Usually recurrence is rare
For a polypoid lesion within the cervical canal consider
- pedunculated uterine leiomyoma protruding through the cervical canal
- endometrial polyp protruding through the cervical canal
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- 1. Okamoto Y, Tanaka YO, Nishida M et-al. MR imaging of the uterine cervix: imaging-pathologic correlation. Radiographics. 23 (2): 425-45. doi:10.1148/rg.232025065 - Pubmed citation
Synonyms & Alternative Spellings
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|Polyp within uterine cervix||✗|