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Published on: May 11, 2014
Dysplasia and malignancy in endocervical polyps
Catherine E Berzolla1, Peter F Schnatz, David M O'Sullivan
1Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, Connecticut 06102, USA.
Journal of Women'S Health (2002)
|November 16, 2007
Summary
Malignancy and dysplasia are rare in cervical polyps, with prevalence rates of 0.1% and 0.5% respectively. While polyps can harbor other diseases, they are unlikely to progress to primary malignancy, though recurrence is possible.
Area of Science:
- Gynecologic Pathology
- Cervical Pathology
- Oncologic Pathology
Background:
- Cervical polyps are common gynecologic findings.
- The potential for malignancy or dysplasia in cervical polyps requires investigation.
- Understanding the pathology of cervical polyps informs clinical management.
Purpose of the Study:
- To estimate the prevalence of malignancy and dysplasia in cervical polyps.
- To assess the risk of cervical polyps progressing to malignancy.
- To provide data for counseling and management of cervical polyps.
Main Methods:
- Retrospective analysis of cervical polyp cases from a pathology database (1999-2006).
- Inclusion of 2246 polyps from 2100 women.
- Recording of malignancy, dysplasia, atypia, and demographic data.
Main Results:
- Malignancy was diagnosed in 0.1% of cervical polyps.
- Dysplasia was found in 0.5% of cases.
- Recurrence rate was 6.2%, with inflammatory changes and metaplasia being common findings.
Conclusions:
- Malignancy and dysplasia are uncommon in cervical polyps.
- Cervical polyps are unlikely to progress to primary malignancy.
- Physicians should counsel patients on polyp recurrence and potential for harboring other diseases.
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