Should we be bothered with asymptomatic endocervical polyps in perimenopausal women?

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dc.contributor.authorEfetürk, Tünay
dc.contributor.authorYılmaz, Dilek
dc.contributor.authorGörkem, Ümit
dc.date.accessioned2019-05-13T09:03:30Z
dc.date.available2019-05-13T09:03:30Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractCervical polyps are defined as focal hyperplastic protrusions of endocervical folds with an incidence of 1%-10%. The majority of endocervical polyps are benign and the incidence of high-grade squamous intraepithelial lesion (HSIL) or carcinoma is relatively rare (1: 1000). Endocervical polyps are mostly incidentally discovered, however the most frequent symptoms are post-coital, postmenopausal or intermenstrual bleeding and/or profuse discharge. Here, we present a perimenopausal women with an asymptomatic polyp, later to be diagnosed with cervical carcinoma. A 46-year-old woman applied to our outpatient clinic without any complaint. The examination revealed a 2.3x2 cm cervical polyp with a slim pedincule. An immediate cervical polypectomy was performed and histopathological examination was resulted as HSIL. The patient then underwent cold-knife conization and endocervical curettage (ECC). The excized cone material's histopathology was consistent with the polyp and the cervical lesion was continous at the surgical borders. ECC was positive for cervical intraepithelial changes. A type 1 hysterectomy was carried out. The definitive pathological diagnosis was microinvasive squamous carcinoma. Accummulating literature advises against routine polypectomy, despite the possibility of displasia in cervical polyps. Various clinical aspects, such as symptoms, age, menopausal status, cytological and colposcopic findings have been evaluated in conjunction with this common entity. In conclusion, the gen-eral notion that symptomatic polyps over 5 mm should be evaluated may be cost-effective, but will not discern cases of polyp associated operable microin-vasive/invasive cervical carcinomas. © 2016 OMU.
dc.identifier.citationEfetürk, T., Yılmaz, D., Görkem, Ü. (2016). Should we be bothered with asymptomatic endocervical polyps in perimenopausal women? Journal of Experimental and Clinical Medicine (Turkey), 33(2),111-113.
dc.identifier.doi10.5835/jecm.omu.33.02.12
dc.identifier.endpage113en_US
dc.identifier.issn1309-4483
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ4
dc.identifier.startpage111en_US
dc.identifier.urihttps://hdl.handle.net/11491/1482
dc.identifier.volume33en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherOndokuz Mayıs Üniversitesi
dc.relation.ispartofJournal of Experimental and Clinical Medicine (Turkey)
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAsymptomatic Polypsen_US
dc.subjectCervical Carcinomasen_US
dc.subjectCervical Polypsen_US
dc.subjectPerimenopausalen_US
dc.titleShould we be bothered with asymptomatic endocervical polyps in perimenopausal women?
dc.typeArticle

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