Small But Terrible A Case Report : Endocervical Polyp with Carcinoma - in-Situ and Microinvasion

MEDICINE Research project

An incidental finding of a cervical polyp was made in a 57 year-old, Gravida 6 Para 6 (6006). menopause for 7 years. non-hypertensive and non-diabetic. Symptoms presented. by the patient were dysuria not associated with other signs and symptons such as vaginal discharge nor vaginal bleeding. Histopathological report of the polyp was endocervical polyp with carcinoma-in-situ and microinvasion, chronic cervicitis (exocervix) with koilocytic atypia. According to several literatures however, a definitive diagnosis of microinvasion is made by conization. To assess the extend of invasion, colposcopically guided cervical biopsy was done instead, which revealed chronic cervicitis. She was readmitted 2 months after the cervical polypectomy and endocervical curettage for extrafascial hysterectomy with bilateral salpingo-oophorectomy and lymph node evaluation. The specimen revealed no remnants of carcinoma. Up to the present, the patient seems to have no evidence of persistence nor recurrence of the disease.