Giant Cervical Polyp in Primigravida: A Rare Case Report
Published: July 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/55376.16559
Caroline Laishram, GS Triveni, Kiran Aggarwal, Aprajita Gupta
1. Senior Resident, Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
2. Associate Professor, Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
3. Director Professor, Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
4. Junior Resident, Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
Correspondence
Dr. GS Triveni,
Associate Professor, Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, Connaught Place, New Delhi-110001, India.
E-mail: drtriveni.gs@gmail.com
Cervical polyp is the most common benign lesion arising from the cervix. It is usually found incidentally unless it is symptomatic or gargantuan in size protruding from the introitus. The giant cervical polyp with size greater than 4 cm are rare in gravid women. Most of the obstetricians would prefer a conservative management for polyps in pregnancy. The present unusual case is of a 30-year-old primigravida, 19 weeks gestation with giant, symptomatic, significantly growing endocervical bifid appearing polyp. The case was managed with transvaginal polypectomy without any need of cervical cerclage. The giant polyp specimen measuring 7×3 cm though appeared clinically malignant, histopathology confirmed its benign aetiology. It is prudent to excise cervical polyp, when symptomatic and suspicious of malignancy. The gravid women undergoing cervical polypectomy may carry risk of premature delivery and hence pregnancy has to be carefully supervised.
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