Management of Cervical Polyp During Pregnancy

Authors

  • Hafiza Sahak Lecturers of Obs, Gyn Department, Medical faculty, Nangarhar University, Jalalabad, Afghanistan,
  • Suhaila Rahimi Lecturers of Obs, Gyn Department, Medical faculty, Nangarhar University, Jalalabad, Afghanistan

DOI:

https://doi.org/10.53555/ans.v6i12.1472

Keywords:

Endocervical polyp, Cervical funnelling, Polypectomy, Conservative management during pregnancy

Abstract

Cervical polyps are small, pedunculated as well sessile neoplasm a of the cervix. Most originate from endo cervix; a few arise from the portio   vaginalis Cervical polyp is one of the most common lesions of cervix that occurs in about 2-5% all of women mostly after the fourth decade of life. Cervical polyps are typically diagnosed incidentally during vaginal examination. Their size is often small, with mostly less than 2 centimeters. Giant cervical polyp is an uncommon variant of classical polyps defined by with a size greater than4 centimeters. Prevalence of cervical polyp in pregnancy is unknown. There are very limited reports. Cervical polyp is very rare in pregnancy, usually asymptomatic and small. The finding of a cervical polyp during pregnancy is uncommon condition. In some cases, a polyp can be symptomatic, in others it is an incidental finding during vaginal examination. However, in both situations it can be a cause of major anxiety for the pregnant woman. There are several reports of different sizes of cervical polyp in pregnancy but, huge cervical polyp causing funnelling and shortening of cervical length. It was managed by polypectomy causing cervical length to return to normal value. pregnant woman despite their benign nature in the majority of cases. The management depends on the symptoms. Most of the time conservative approach is preferred. This article summarises the essential points of the current management and gives a recent review of literature of cervical polypectomy during pregnancy.

Downloads

Download data is not yet available.

References

1. Panayotidis C and Cilly L. Cervical polypectomy during pregnancy: The gynaecological perspective. Journal of Genital System & Disorders, 2013;2:2
2. MacKenzie IZ, Naish C, Rees CM, Manek S (2009) Why remove all cervical polyps and examine them histologically? BJOG 116: 1127-1129
3. The relation between granulocyte elastase activity in cervical mucus and gestational cervical polyp Kanayama N, Terao T. Nippon Sanka Fujinka Gakkai Zasshi. 1991 Jan
4. Schiessl B, Hantschmann P, Brucker C (2000) Vaginal bleeding and Guyer B, Martin JA, MacDorman MF, Anderson RN, Strobino DM. Annual summary of vital statistics – 1996. Pediatrics 1997;100:905–18
5. Tin W, Wariyar U, Hey E. Changing prognosis for babies of less than 28 weeks’ gestation in the North of England between 1983 and 1994. Br Med J 1997;314:107–11
6.Chohanarshed, fundamental of gynecology , Karachi Pakistan 2016 , chapter 22, p246 –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. [PubMed] [Google Scholar]
7. Song JS, Song DE, Kim K-R, Ro JY. Cellular PseudosarcomatousFibroepithelial 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. [PMC free article] [PubMed] [Google Scholar]
8. Khanam SA, Rashid F, Chowdhury S. An Unusually Big Cervical Fibroid Polyp:A Case Report. ChattagramMaa-o-Shishu Hospital Medicall College Journal. 2018;15(2):65–67. https://doi.org/10.3329/cmoshmcj.v15i2.31810. [Google Scholar]
9. Liu Q, Sun X. Giant fibroepithelial polyp of the uterine cervix. J ObstetGynaecol. 2012;32(4):405–6. https://doi.org/10.3109/01443615.2012.658895 PMid:22519500. [PubMed] [Google Scholar]
10. 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. [Google Scholar]

Downloads

Published

2020-12-31

How to Cite

Sahak, H., & Rahimi, S. (2020). Management of Cervical Polyp During Pregnancy. International Journal For Research In Applied And Natural Science, 6(12), 01–05. https://doi.org/10.53555/ans.v6i12.1472