Cervical polyp biopsy issues?
Hello Doctor: I am currently about 10 weeks pregnant.
In the early stages of my pregnancy, I experienced slight brown discharge.
When I visited the doctor at around 8 weeks, it was discovered that I had a cervical polyp and mild cervical erosion.
The doctor removed the polyp on the spot and instructed me to use a vaginal suppository for a week.
The pathology results have come back, and I would like to ask if you could help me understand if there are any issues.
I was quite nervous during the explanation from the attending physician, which made it hard for me to grasp everything clearly.
He just mentioned that everything would be fine after the removal, but I would still like to hear your opinion.
Thank you!
PATHOLOGICAL DIAGNOSIS: Uterus, cervix, polypectomy - Endocervical polyp.
GROSS: The specimen submitted consists of one tissue fragment, measuring 1.6 x 0.8 x 0.4 cm in size, fixed in formalin.
Grossly, it is tan and rubbery.
MICROSCOPIC DESCRIPTION: The H&E section reveals an endocervical polyp which is composed of loose fibrovascular stroma and is covered by benign-appearing endocervical-type epithelium with focal squamous metaplasia.
Thank you!
m, 30~39 year old female. Ask Date: 2018/08/22
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the report is benign and without any issues.
If there is no bleeding, observation is sufficient.
Wishing you good health.
Reply Date: 2018/08/22
More Info
Understanding cervical polyps during early pregnancy is crucial for both the health of the mother and the developing fetus. Cervical polyps are benign growths that can occur on the cervix, often arising from the endocervical canal. They are typically asymptomatic but can sometimes cause abnormal bleeding or discharge, which may be concerning during pregnancy.
In your case, the pathology report indicates that the polyp was an endocervical polyp, which is a common type of cervical polyp. The report describes the specimen as having a loose fibrovascular stroma and being covered by benign-appearing endocervical-type epithelium with focal squamous metaplasia. This means that the polyp is composed of normal tissue and does not show any signs of malignancy or dysplasia, which is reassuring. The presence of squamous metaplasia is a common finding and generally not a cause for concern.
During early pregnancy, it is not uncommon for women to experience some spotting or light bleeding, which can be attributed to various factors, including hormonal changes, cervical irritation, or the presence of cervical polyps. The fact that your doctor performed a polypectomy (removal of the polyp) and that the pathology results came back benign is a positive outcome. It suggests that the polyp was not contributing to any significant risk for your pregnancy.
It is important to monitor any further bleeding or unusual symptoms during your pregnancy. If you experience heavy bleeding, severe pain, or any other concerning symptoms, it is essential to contact your healthcare provider immediately. Regular prenatal check-ups are crucial to ensure the health of both you and your baby.
In terms of management, since the polyp has been removed and the pathology results are benign, your doctor may recommend routine follow-up appointments to monitor your pregnancy. If you continue to have light spotting, it may be related to the changes in your cervix during pregnancy or other benign causes. Your healthcare provider may also advise you on the use of vaginal medications or other treatments if necessary.
In summary, the findings from your pathology report indicate that the cervical polyp was benign, and the removal of the polyp should not pose any significant risk to your pregnancy. However, it is essential to maintain open communication with your healthcare provider and attend all scheduled prenatal visits to monitor your health and the health of your baby throughout your pregnancy. If you have any further questions or concerns, do not hesitate to reach out to your doctor for clarification and support.
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