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