Benign Endocervical Polyp with Heterologous Elements in a 42-year-old Female: Report of a Case

Abstract

A 42-year-old female with unremarkable medical history presented for a routine cervical screening upon which an endocervical polyp was identified and submitted entirely for histopathologic evaluation. Microscopic examination showed multiple well-circumscribed nodular fragments of polyp with superficial erosion and focal acute inflammation. Benign endocervical glands were seen within a fibrotic stroma with a prominent smooth muscle component. Intermixed mature adipose tissue and large thick-walled vessels were also identified. Stromal and epithelial atypia were absent; similarly, stromal cellularity, mitoses, and condensation were not identified. Additional deeper levels did not reveal other heterologous elements. The diagnosis of a benign choristomatous endocervical polyp was rendered. As anticipated, the patient recovered completely. A review of the English literature demonstrates rare, namely two other reports of hamartomatous tissue in an endocervical polyp. To the best of our knowledge, we report the third such case.

Choristomatous Endocervical Polyp with Heterologous Adipose Tissue

“…The presence of mature heterotopic benign mature adipose is scarce in the English literature, and only three cases have been reported till date. [ 3 4 5 ]…”

“…A thorough literature search showed only three described cases of ECP with mature adipose tissue differentiation. [ 3 4 5 ] The present case describes heterologous adipose tissue in the ECP in a 75-year-old multiparous female and outlines the differential diagnosis and diagnostic dilemmas.…”