title: Diagnostic problems relating to uterine cervical polyps with malignancy.
abstract: In order to clarify the diagnostic problems relating to, and the proper treatment of, uterine cervical polyps, 951 polyps were analyzed clinicopathologically. All polyps were examined histopathologically and divided into 2 groups: benign polyps (Group-1), and polyps with neoplastic or malignant lesions (Group-2). Polyp size and cervical cytology are not always reliable for predicting the correct diagnosis of neoplastic or malignant lesions. Colposcopic diagnostic accuracy was 56.3%, but increased to 75.0% when combined with cytology. Neoplastic or malignant lesions were found at both the cervical polyp and the cervix in 21 out of 24 Group-2 patients (87.5%). These results suggest that in order not to miss rare neoplastic or malignant lesions in polyps and/or cervices, histopathological examinations of all polyps, aided by cervical cytology and colposcopic observation, are necessary.
authors.affiliation: Division of Gynecology, Saitama Cancer Center, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Shiromizu
authors.forename: E
authors.initials: E
authors.lastname: Ryou
authors.forename: T
authors.initials: T
authors.lastname: Tsukagoshi
authors.forename: T
authors.initials: T
authors.lastname: Nishimura
authors.forename: M
authors.initials: M
authors.lastname: Takahashi
authors.forename: M
authors.initials: M
authors.lastname: Matsuzawa
mesh_terms: D002471:Cell Transformation, Neoplastic; D005260:Female; D006801:Humans; D011127:Polyps / Q000175:diagnosis* / Q000473:pathology; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology