- Pedunculated masses, usually single, varying in size that protrude from the cervix, usually originating from the endocervical but can be seen in the ectocervical canal. Cervical polyps may bleed.
- System(s) affected: reproductive
- Bright red to pink and appear spongy
Delay removal of polyps until postpartum unless bleeding or cervical dilation is found.
- Predominant age: 40 to 60 years
- Predominant sex: female only
- 2–5% of females (1)
- The incidence of malignant change in a cervical polyp is estimated to be <1%. Squamous cell carcinoma is the most common type of malignancy, although adenocarcinomas have been reported. Endometrial cancer may involve the polyp secondarily. Sarcoma rarely develops within a polyp (2).
Etiology and Pathophysiology
Hyperplastic proliferation of cervical or endometrial cells
- Unknown for most cases
- Secondary reaction to cervical inflammatory or hormonal stimulation or localized vascular congestion of cervical blood vessels (1)
- Rare incidence of dysplasia or malignancy
Trauma, inflammation, pregnancy, elevated estrogen levels, surgical procedure
Commonly Associated Conditions
There is a possibility of coexisting endometrial polyps.
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Domino, Frank J., et al., editors. "Cervical Polyps." 5-Minute Clinical Consult, 27th ed., Wolters Kluwer, 2020. Medicine Central, im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/816028/all/Cervical_Polyps.
Cervical Polyps. In: Domino FJF, Baldor RAR, Golding JJ, et al, eds. 5-Minute Clinical Consult. Wolters Kluwer; 2020. https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/816028/all/Cervical_Polyps. Accessed May 28, 2023.
Cervical Polyps. (2020). In Domino, F. J., Baldor, R. A., Golding, J., & Stephens, M. B. (Eds.), 5-Minute Clinical Consult (27th ed.). Wolters Kluwer. https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/816028/all/Cervical_Polyps
Cervical Polyps [Internet]. In: Domino FJF, Baldor RAR, Golding JJ, Stephens MBM, editors. 5-Minute Clinical Consult. Wolters Kluwer; 2020. [cited 2023 May 28]. Available from: https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/816028/all/Cervical_Polyps.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Cervical Polyps ID - 816028 ED - Domino,Frank J, ED - Baldor,Robert A, ED - Golding,Jeremy, ED - Stephens,Mark B, BT - 5-Minute Clinical Consult, Updating UR - https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/816028/all/Cervical_Polyps PB - Wolters Kluwer ET - 27 DB - Medicine Central DP - Unbound Medicine ER -