Cervical and endometrial polyps Flashcards
What are cervical and endometrial polyos
Most common benign neoplasms of cervix - 4% population
Where and what do endocervical polyps look like
4th to 6th decade of life
Cherry red lesions - single or multiple and may appear as pedunculated lesions on a stalk of varying length
What do cervical polyps look like
Single smooth grey-white lesions, bleed easily if touched
What can polyps present with
asymptomatic
abnormal bleeding eg during intercourse, heavy menstrual periods between periods or after the menopause
How can polyps cause infertility
Grow big enough to obstruct the external os
How can polyps be removed
If the woman is asymptomatic, this can simply be done by twisting them off. Patients may be referred for this but, if it is small (less than 2 cm x 1 cm) and you are confident in carrying out this procedure, it can be done in your surgery.
For more persistent lesions:
Surgical dilatation and curettage
Electrosrugical excision
Hysteroscopic polypectomy
What can happen from polyps being removed
Vagally stimulated bradycardia
Haemorrahge
How is vagally stimulated bradycardia treated
Atropine
How treat a haemorrhage from removing polyps
Hysteroscopic polypectomy
