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Cervical Polyps

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Pedunculated masses, usually single, varying in size that protrude from the cervix, usually originating from the endocervical but can be seen in the ectocervical canal. Cervical poly...

DIAGNOSIS

Cervical polyps are typically painless. Diagnosis is by speculum exam. 

HISTORY

  • The majority of cervical polyps are asymptomatic.

  • Some cause abnormal vaginal bleeding or discharge

    • Intermenstrual...

TREATMENT

  • There is no clear indication for removal of asymptomatic cervical polyps, although it is often done (4)[B].

  • Indications for removal of polyps are abnormal vaginal bleeding, such as postcoital...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Recheck at routine appointments or as needed. 

DIET

No modifications 

PATIENT EDUCATION

Given the possibility of incomplete excision, patients shoul...

REFERENCES

1
Goldshmid O, Schejter E, Kugler D, et al. Is removal of asymptomatic cervical polyps necessary?: histologic findings in asymptomatic Israeli Jewish women. J Low Genit Tract Dis.  2011...

ADDITIONAL READING

  • Dehner LP, Jarzembowski JA, Hill DA. Embryonal rhabdomyosarcoma of the uterine cervix: a report of 14 cases and a discussion of its unusual clinicopathological associations. Mod Pat...

CODES

ICD10

  • N84.1 Polyp of cervix uteri

  • O34.40 Maternal care for other abnormalities of cervix, unspecified trimester

ICD9

  • 622.7 Mucous polyp of cervix

  • 654.60 Other congenital or acquired abnormality of ce...

CLINICAL PEARLS

  • There is no clear indication to remove an asymptomatic polyp unless there is a suspicion of malignancy. Removal is recommended if the patient is symptomatic or if lesion is large.

  • Cervi...

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