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First trimester findings of decidual polyp: Caution to avoid polypectomy
N Seo1, D Tachibana1, T Misugi1
1Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Summary
Diagnostic polypectomy for cervical polyps, sometimes needed to rule out cancer, carries risks. This case highlights a decidual polyp causing miscarriage after removal, emphasizing conservative management for suspected cases.
Area of Science:
- Reproductive Medicine
- Gynecologic Pathology
Background:
- Cervical polyps pose a diagnostic challenge for obstetricians, balancing the need for malignancy assessment with risks of miscarriage or preterm delivery.
- Polypectomy is often required to differentiate between benign and malignant cervical lesions.
Observation:
- A case of first-trimester miscarriage following diagnostic polypectomy for a suspected cervical polyp is presented.
- The polyp was identified as a decidual polyp.
Findings:
- Decidual polyps can be recognized as early as gestational week 5.
- Meticulous observation of cervical polyp roots is essential.
- A polyp connected to the decidua is a suggestive finding of decidual polyp.
Implications:
- Conservative management is a viable option for suspected decidual polyps.
- This case provides critical insights for obstetricians managing early pregnancy polyps.
- Understanding decidual polyp characteristics can prevent iatrogenic pregnancy loss.
