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Case Reports
. 2019 Jun 30;7(12):1998-2001.
doi: 10.3889/oamjms.2019.102.

An Unusually Large Fibroepithelial Polyp of Uterine Cervix: Case Report and Review of Literature

Meral Rexhepi  1   2 , Elizabeta Trajkovska  3 , Kazimir Koprivnjak  1
Affiliations
Case Reports

An Unusually Large Fibroepithelial Polyp of Uterine Cervix: Case Report and Review of Literature

Meral Rexhepi et al. Open Access Maced J Med Sci. .

Abstract

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.

Keywords: Cervical polyp; Giant fibroepithelial polyp; Uterine cervix.

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Figures

Figure 1
Figure 1
Cystiform polyp protruding from the vagina
Figure 2
Figure 2
The polyp after excision
Figure 3
Figure 3
Three coupled cystic formations
Figure 4
Figure 4
The dissection of the tumour
Figure 5
Figure 5
A) HE x 20. Fibrocollagenous stroma covered; B) He x 40. The stroma of the polyp with a cystic cavity by stratified squamous epithelium
See this image and copyright information in PMC

References

    1. 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
    1. Song JS, Song DE, Kim K-R, Ro JY. 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. - PMC - PubMed
    1. 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.
    1. 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. - PubMed
    1. 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.

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