Hysteroscopy in cases of cervical polyps

To assess the usefulness of hysteroscopy in cases of cervical polyps, we studied 78 patients with a lesion found during a routine gynecological examination. All women were referred for diagnostic hysteroscopy followed by endoscopic polypectomy. In 83.3% of the cases intrauterine investigation confirmed primary diagnosis - a polyp peduncle in the cervical canal. Sixty-five of those lesions were the only pathologic condition, and six (7.7%) were associated with an endometrial polyp. In the remaining 16.7% of examined patients, primary polyps identified as cervical polyps appeared to be endometrial. All women admitted to the study were successfully treated by hysteroscopy. Our results suggest that endoscopic evaluation of the uterine cavity in women with cervical polyps can clarify the initial diagnosis. Hysteroscopy allows not only a precise visualisation of the polyp peduncle but also gives the possibility to identify and treat concurrent asymptomatic intrauterine pathological conditions.

Cervical polyps; Endometrial polyps; Hysteroscopy

[1] Aaro L. A., Jacobson L. J., Soule E. H.: "Eudocervical polyps". Obstet. Gynecol., 1963, 21, 659.

[2] Coeman D., Van-Belle Y.. Vanderick G., De-Mudler X.. DeMudler E., Campo R.: "Hysteroscopic findings in patients with a cervical polyp". Am. J. Obstet. Gynecol., 1993, 169, 1563.

[3] Roca A. N., Gmajardo M., Estranda W. J.: "Glial polyp of cervix and endometrium and review of the literature". Am. J. Clin. Pathol., 1980, 73, 718.

[4] Vilodre L. C.,B erta! R.,P ettersR .,R eis F. M.: "Cervical polyp as risk factor for hysteroscopically diagnosed endomerial polyps" Gynecol. Obstet. Invest., 1997, 44, 191.

[5] Neri A., Kaplan B.,R abinerson D., Ovadia J., Braslavsky D.: "Cervical polyp in the menopause and need for fractional dilatation and currettage". Eur. J. Obstet. Gynecol. Reprod. Biol., 1995, 62. 53.

[6] Mencaglia L.: "Endometrial polyps". The Hysteroscope, 1993, I, 6.

[7] Spiewankiewicz B., Stelmach6w J., Sawicki W., Swiderska K.: "Hysteroscopic evaluation of cervical polyp (Abstract)". World Congress of Gynaecologi cal Endoscopy, Jerusalem, Israel, 1995, 32.

[8] Prevedourakis C.,L ekkas N.,M arkis N.,D achlythras M.: "Operalive hysteroscopy". Int. J. Gynaecol. Obstet., 1993, 42, 15.

[9] David A, Mettler L., Semm K.: "The cervical polyp. A new diagnostic and therapeutic approach with CO, hysteroscopy". Am. J Obstet. Gynecol., 1978, 130, 662.

[10] La Sala G. B., Sacchetti F., Dessanti L.: "Panoramic diagnosllc microhysteroscopy. Analysis of results obtained from 976 out patients". Acta Obstet. Gynecol. Scand., 1987, 141, 40.

[11] Bao-Liang L., Yoshiyuki I., Valle R. F.: "Clinical application of Lin's forceps in flexible hysteroscopy". Hysteroscopy UpdateProceedings of the World Congress of Hysteroscopy Miami, Florida, Internat., Copyright Union 1997, 147.

[12] Varma TR.: "Diseases of the Cervix". London, Churchill L1vmgstone, 1986, 68 (Dissertation)

[13] Mazur M. T, Curman M. J.: "Diagnosis of Endometrial B10psy and Curettings. A Practical Approach". New York, Springer Verlag, 1994.

[14] Weyl B., Daniel J. C., Vogel W.: "The value of operative hysteroscopy in treating intra-cavitary fibroids and fibrous polyps". J Gynecol. Obstet. Biol. Reprod., 1985, 14, 1045.

[15] Cravello L., Mongolfier R., D'Ercole C., Boubli L., Blanc B.: "Hysteroscopic surgery in postmenopausal patients". Acta Obstet Gynecol. Scand., 1996, 75, 563.