caa a22 4500 445307013 CHVBK 20180317142616.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1405-5 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1405-5 Cervical polyps: evaluation of routine removal and need for accompanying D&C [Elektronische Daten] [Esra Esim Buyukbayrak, Ayse Karageyim Karsidag, Bulent Kars, Onder Sakin, Ayse Ozyapi Alper, Meltem Pirimoglu, Orhan Unal, Cem Turan] Objective: To estimate prevalence of malignancy and dysplasia in cervical polyps and to judge whether cervical polyps need to be removed routinely. Also to investigate if a cervical polyp is an indicator of endometrial pathology and to assess the necessity of performing dilatation and curettage (D&C). Materials and methods: We retrospectively reviewed hospital records of 4,063 cervical polyp cases. Patients' age, menopausal status and pathological findings were recorded. Descriptive statistics, Pearson's χ2, Fisher's exact test were used for statistical analysis. P value of ≤0.05 was accepted significant. Results: Among 4,063 cervical polyps, only 3 (0.1%) cases of malignancy were encountered which were metastasis from endometrium. There were also dysplastic (0.4%), metaplastic (2.1%), inflamatory (1%) changes. Accompanying endometrial pathologies were: endometrial cancer (0.3%), hyperplasia without atypia (1.3%), endometrial polyp (6.6%). There was statistically significant relation between menopausal status and malignancy of cervical polyps (P=0.055) malignancy of endometrial cavity (P=0.0001). Conclusion: Routine removal of cervical polyps, although not mandatory, seems clinically prudent because pathological evaluation is needed to confirm the diagnosis and to rule out other possibilities. 10.9% of postmenopausal patients and 7.8% of premenopausal patients were diagnosed with any endometrial pathology accompanying cervical polyp. Therefore, cervical polyps can be a sign of endometrial disease, especially in postmenopausal women with cervical polyp endometrium should be evaluated more carefully. Springer-Verlag, 2010 Cervical polyp nationallicence Endometrial pathology nationallicence Cervical polypectomy nationallicence D&C nationallicence Esim Buyukbayrak Esra Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Karageyim Karsidag Ayse Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Kars Bulent Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Sakin Onder Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Ozyapi Alper Ayse Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Pirimoglu Meltem Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Unal Orhan Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Turan Cem Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 581-584 0932-0067 283:3<581 2011 283 404 https://doi.org/10.1007/s00404-010-1405-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1405-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Esim Buyukbayrak Esra Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Karageyim Karsidag Ayse Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Kars Bulent Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Sakin Onder Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Ozyapi Alper Ayse Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Pirimoglu Meltem Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Unal Orhan Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Turan Cem Department of Gynecology, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Çanakkale cd. No: 26/11 Atalar, Kartal, Istanbul, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 581-584 0932-0067 283:3<581 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer