Cervical decidual polyps

Cervical deciduous polyps can only be detected through examination results during the examination, and the best time for treatment will be missed at this time. It is best to undergo surgical resection in the early stage of the disease to avoid recurrence due to improper treatment. If it recurs again, the patient can use medication to treat it, which can serve as an auxiliary treatment.

Cervical polyps are mainly treated with surgical removal to prevent recurrence due to incomplete treatment. Medication is only an auxiliary treatment.

1. Surgical Method

Polypectomy or transurethral resection may be performed. Clamp the polyp pedicle with a vascular clamp, rotate it in one direction, and twist it out. Small polyps can be removed with a vascular clamp and slight pressure can be applied to stop the bleeding, or a piece of gauze can be stuffed at the neck and removed after 24 hours. If the polyp is large and has a thick pedicle, the base end can be cauterized to stop bleeding after removal. If there are multiple lesions, the cervical canal can be slightly dilated and then scraped thoroughly, and a diagnostic curettage can be performed at the same time.

2. Postoperative precautions

Since polyps are prone to recurrence and may grow again after removal, they should be checked regularly and vaginitis should be actively treated. What should not be overlooked is that cervical smear examinations should be performed regularly to rule out malignant changes.

1. Gynecological examination

Most cervical polyps are discovered during gynecological examinations. Examination may reveal a protruding mass at the external cervical opening, which may be tongue-shaped or spherical, generally soft in texture, with congested surface, and may be accompanied by increased secretions and contact bleeding. The roots of polyps are mostly attached to the cervical canal or the external opening of the cervix, with a diameter of less than 1 cm, single or multiple. There are also larger ones, which can reach several centimeters in diameter and have a pedicle that protrudes outside the cervical os as it grows. If the polyp is small, it will remain in the cervical canal and only appear slightly at the cervical opening.

2. Pathological examination

It can be seen that the center of the polyp is a longitudinal axis formed by fibrous connective tissue, with many dense blood vessels. Outside is the inherent tissue of the cervix, including glands and stroma. The surface is covered by cervical mucosa. The tissue composition and structure are basically the same as those of normal cervical tissue, which is a typical polyp tissue phase. Congestion, edema and inflammatory cell infiltration can also be seen.

3. Colposcopy

Depending on the epithelium covering the surface of cervical polyps, there are two types of images under the colposcope.

(1) Polyps are formed by excessive proliferation and accumulation of the cervical mucosa. Under colposcopy, the polyps appear bright red and have a certain luster. Single polyps have a thin stalk, while multiple polyps appear in clusters with a wider base and a shorter stalk. It is soft and brittle and easily bleeds when touched.

(2) Polyps originate from the squamous epithelium covering the surface of the cervical vaginal part. Since the stroma is mainly composed of fibrous connective tissue, the polyps are pink in color, protrude from the squamous epithelium of the cervix, have a wide base, and a few have a thin stalk. They are tough in texture and are not prone to bleeding when touched.

4. Others

Cervical smear showed Pap grade II. For patients with more serious conditions, cervical biopsy can be performed to confirm the diagnosis.