An An Unusually Large Fibroepithelial Polyp of Uterine Cervix: Case Report and Review of Literature
DOI:
https://doi.org/10.3889/oamjms.2019.102Keywords:
cervical polyp;, giant fibroepithelial polyp, uterine cervixAbstract
BACKGROUND: Fibroepithelial cervical polyps (FEPs) are benign growths protruding from the inner surface of the cervix. They are typically asymptomatic, but a very small minority can undergo malignant change. Giant cervical polyps with a size greater than 4 cm are rare entities with only 23 reported cases in the literature. Cervical polyps develop as a result of focal hyperplasia of the columnar epithelium of the endocervix.
CASE PRESENTATION: We present the case of a giant fibroepithelial polyp measuring approximately 11 x 6 x 4 cm which was protruding from the anterior lip of the uterine cervix in a 51-year-old woman who clinically presented vaginal bleeding. She was nulligravida and doesn’t have a child. The speculum examination revealed a soft, mobile, painless irregular cerebriform mass on the cervix, protruding through the vagina. The polyp was excised using a scalpel, and the pedicle was sutured using the Vicryl 1-0 under short-term intravenous anaesthesia. Histopathological examination revealed a polypoidal tumour mass composed of cellular fibrovascular stroma covered with stratified squamous epithelium. Three months after the initial surgery, there was no recurrence seen.
CONCLUSION: Cervical giant polyps are rare entities and occur mostly in perimenopausal women. Transvaginal polypectomy, as performed for this patient followed by histopathological examination is an adequate procedure for these lesions.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
MacKenzie IZ, Naish C, Rees CMP, Manek. Why remove all cervical polyps and examine them histologically? BJOG. 2009; 116(8):1127-9. https://doi.org/10.1111/j.1471-0528.2009.02169.x PMid:19515151
JS Song, DE Song, Kyu-Rae Kim and Jae Y.Ro. Cellular Pseudosarcomatous Fibroepithelial Stromal Polyp of the Vagina During Pregnancy: A lesion That Is Overdiagnosed as a Malignant Tumor. Korean J Pathol. 2012; 46(5):494-498. https://doi.org/10.4132/KoreanJPathol.2012.46.5.494 PMid:23136578 PMCid:PMC3490121
Khanam SA, Rashid F, Chowdhury S. An Unusually Big Cervical Fibroid Polyp: A Case Report.Chattagram Maa-o-Shishu Hospital Medicall College Journal. 2018; 15(2):65-67. https://doi.org/10.3329/cmoshmcj.v15i2.31810
Liu Q, Sun X. Giant fibroepithelial polyp of the uterine cervix. J Obstet Gynaecol. 2012; 32(4):405-6. https://doi.org/10.3109/01443615.2012.658895 PMid:22519500
Yadav BS, Nandedkar SS, Malukani K, Agrawal P. Multiple giant cervical polyps: A case report with literature review. Indian Journal of Basic and Applied Medical Research 2014; 3(3):338-343.
Ota K, Sato Y, Shiraishi S. Giant Polyp of Uterine Cervix: A Case Report and Brief Literature Review. Gynecol Obstet Case Rep. 2017; 3(2):49-52. https://doi.org/10.21767/2471-8165.1000049
Rexhepi M, Trajkovska E, Besimi F, Rufati N. Giant Fibroepithelial Polyp of Vulva: A Case Report and Review of Literature. Prilozi, 2018; 39(2-3):127-130. https://doi.org/10.2478/prilozi-2018-0051 PMid:30864355
Harrison AO. Prolapsed giant cervical fibroid polyp mimicking procidentia - aftermath of traditional therapy for fibroids - a case report and review of the literature. Open Science Journal of Clinical Medicine. 2014; 2(1):15-18.
Agarwal M, Singh S, Agarwal R, Jaiswal S. Prolapsed Giant Cervical Fibroid Polyp. J South Asian Feder Obst Gynae. 2016; 8(1):77-78. https://doi.org/10.5005/jp-journals-10006-1391
Gupta A, Gupta P, Manaktala U. Varied Clinical Presentations, the Role of Magnetic Resonance Imaging in the Diagnosis and Successful Management of Cervical Leiomyomas: a case-Series and Review of Literature. Cureus. 2018; 10(5):e2653. https://doi.org/10.7759/cureus.2653
Palacios-Pereira LT, Cervantes-Ramirez L, Espinal-Rodriguez JM, Espinal-Madrid JM, Sabillon-Vallejo JE, Urquia-Osorio H. Giant cervical polyp long standing. A case report. Archivos de Medicina. 2015; 11(4):5.
Simavli S, Kinay T. Giant cervical polyp: A case report and review of the literature.Turkiye Klinikleri J Gynecol Obst. 2013; 23(2):119-22.
Massinde AN, Mpogoro F, Rumanyika, RN, Magoma M. Uterine prolapsed complicated with a giant cervical polyp: Journal of lower genital tract disease. 2012; 16:64-65. https://doi.org/10.1097/LGT.0b013e31822b752d PMid:21964209
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Meral Rexhepi, Elizabeta Trajkovska, Kazimir Koprivnjak (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0