USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1

CERVICAL LESIONS


CERVICAL POLYPS


Cervical polyps are finger-like growths that start on the surface of the cervix or
endocervical canal. These small, fragile growths hang from a stalk and push
through the cervical opening. Their cause is not completely understood; they
may be associated with chronic inflammation, an abnormal response to increased
levels of estrogen, or thrombosed cervical blood vessels.


Cervical polyps are relatively common, especially in older multiparous women.
In most cases only a single polyp is present, but sometimes two or three are
found.


History is  usually positive    for vaginal bleeding,   often   after   intercourse;    this
bleeding occurs between normal menstrual periods.
Speculum examination reveals smooth, red or purple finger-like projections
from cervical canal.
Cervical biopsy typically reveals mildly atypical cells and signs of infection.
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