Adenomatous polyp of cervix

Cervical diseases trouble many women. In fact, this is because they do not pay attention to personal hygiene, which leads to bacterial invasion and imbalance in the internal environment of the reproductive organs. Adenomatous cervical polyps are a very common form of lesions, which are divided into three types. The chances of cancer occurring vary between different types. If you have adenomatous polyps of the cervix, you should take corrective measures in a timely manner. Let’s find out.

According to pathological classification, polyps are divided into inflammatory polyps, hyperplastic polyps, hamartomas, adenomatous polyps, etc. Among them, adenomatous polyps are the most common, accounting for about 70%-80%, and are generally about 0.5-2cm in size.

Adenomatous polyps include tubular adenomas, villous adenomas, and villous tubular adenomas.

Tubular adenomas are the most common histological type of adenomas, accounting for 60%-80% of adenomas, and their prevalence increases with age. Most tubular adenomas show mild atypical hyperplasia, and the canceration rate is low, about 5%.

The incidence rate of villous adenoma is 1/10 of that of tubular adenoma, but the canceration rate is higher, generally 40%, so it is considered a cancerous lesion.

Villous tubular adenoma is an adenoma with the above two histological characteristics, and its canceration rate is between tubular adenoma and villous adenoma.

In addition to its pathological classification, it is generally believed that the size and number of adenomas have a great influence on the possibility of canceration of adenomatous polyps. The canceration rate of adenomatous polyps less than 1 cm is almost zero, while the chance of canceration of adenomatous polyps larger than 1.0 cm increases. The canceration rate of adenomatous polyps 1-2 cm is about 10%, and the canceration rate of adenomatous polyps >2 m is as high as 50%. Statistics show that if the number of polyps is less than 3, the canceration rate is 12%-29%; if the number of polyps is equal to or greater than 3, the canceration rate increases to 66.7%.

In summary, judging from the canceration rate of adenomatous polyps in all aspects, it is generally recognized that they are precancerous lesions of colorectal cancer.

Having said that, it does not mean that all adenomatous polyps are precancerous lesions. Therefore, there is no need to worry too much if adenomatous polyps are detected. Following the following practices can effectively avoid cancer. After endoscopic resection of adenomatous polyps, a follow-up colonoscopy should be performed within 3 to 6 months to ensure complete resection. Residual polyps should be removed, and most patients who still have not been completely resected after 2 to 3 follow-up examinations should undergo surgical resection. After complete resection, most patients should be examined once every 5 years.