Cervical Polyps: What Your Biopsy Results Mean - Obstetrics and Gynecology

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Cervical polyps are common benign growths that occur on the cervix, often arising from the endocervical canal. They can vary in size and may be asymptomatic, although some individuals might experience symptoms such as abnormal bleeding or discharge. When a cervical polyp is discovered during a Pap smear or pelvic exam, it is often removed for further evaluation through a biopsy.

Your biopsy report indicates that the tissue examined is polypoid in shape and consists of endocervical glands and stroma, with focal squamous metaplasia and inflammatory cell infiltration. Let's break down what this means:
1. Polypoid Tissue: This term indicates that the tissue has a growth pattern typical of polyps. Polyps are generally non-cancerous (benign) and are often composed of glandular tissue.

2. Endocervical Glands: These are the glands located in the endocervical canal, which is the passageway between the vagina and the uterus. The presence of these glands in your biopsy suggests that the polyp is derived from normal cervical tissue.

3. Stroma: This refers to the supportive connective tissue surrounding the glands. The presence of stroma is typical in polyps.

4. Focal Squamous Metaplasia: This term describes a process where the normal columnar epithelial cells of the endocervical glands change into squamous cells. This is a common and usually benign response to irritation or inflammation. It can occur due to various factors, including hormonal changes or chronic inflammation.

5. Inflammatory Cells Infiltration: The presence of inflammatory cells indicates that there is some degree of inflammation in the tissue. This can be a response to irritation, infection, or other factors. Inflammation is not uncommon in cervical polyps and does not necessarily indicate a serious problem.


Conclusion and Recommendations
Based on your biopsy results, there is no indication of malignancy (cancer). The findings suggest that the polyp is benign, characterized by normal endocervical tissue with some inflammation and metaplasia. This is a reassuring outcome, as most cervical polyps are non-cancerous and do not require aggressive treatment.

However, it is essential to follow up with your healthcare provider for further evaluation and management. They may recommend regular monitoring, especially if you have a history of abnormal Pap smears or other cervical changes. If you experience any new symptoms, such as unusual bleeding or pain, you should report these to your doctor promptly.

In summary, while the discovery of a cervical polyp can be concerning, your biopsy results indicate that it is likely benign. Regular gynecological check-ups and communication with your healthcare provider will help ensure your cervical health is monitored appropriately.