Diagnostic Value of Visual Examination of Cervical Polypoid Lesions and Predictors of Misdiagnosis

Role of endometrial sampling in cases with asymptomatic cervical polyps

Cervical polyps are benign neoplasms of the cervix and frequently asymptomatic; however, they may cause intermenstrual, postcoital, and postmenopausal bleeding. The excision of cervical polyps and necessity of endometrial sampling is remain controversial. The objective of our study was to determine the association between cervical polyps and smear and endometrial pathologies. 221 patients were included in the study and all patients data reviewed retrospectively. All patients were divided into two groups; 1. Premenopausal, 2. Postmenopausal. The groups were compared in terms of demographic information, histopathological results and polyp number and size. Also endometrial sampling results were divided; 1. premalignant-malignant group 2. benign group. There was a statistically significant difference between polyp size and premalignant and malignant endometrial pathologies in the postmenopausal patient group (p = 0.048 and p = 0.002). The cut-off value for polyp length was determined to be 19 mm and that for polyp volume was determined to be 2150 mm³. The use of Pap smear screening before polypectomy can give information about malignancy potential of asymptomatic cervical polyps. However, if polyps sizes are length of >19 mm and volume of >2300 mm³, especially in postmenopausal females endometrial sampling should be recommended.