Severe Metrorrhagia Caused by Giant Cervical Polyp in a Virgin

Abstract

Background: Huge cervical polyps are rarely encountered in gynecologic practice. A cervical polyp is a growth arising from the mucosal surface of the ectocervix or the endocervical canal. A cervical polyp may be the result of infection, an abnormal response to increased levels of estrogen, and local congestion of cervical vessels. Cervical polyps are typically benign and are rarely seen prior to the onset of menarche. Case: This article describes a case of a giant cervical polyp of 10 cm occurring in a 16-year-old virgin who clinically presented with severe metrorrhagia. Results: The polyp was excised abdominally with no recurrence 6 months after surgery. Conclusions: Giant cervical fibroids are rare but may occur at any age. Accurate diagnosis is needed before any intervention. Vaginal polypectomy is the treatment of choice for most of cervical polyps. Histologic examination for all cervical polyps is recommended to exclude malignancy. ( J GYNECOL SURG 29:327)