Giant Cervical Polyp in Primigravida: A Rare Case Report

Abstract

Cervical polyp is the most common benign lesion arising from the cervix. It is usually found incidentally unless it is symptomatic or gargantuan in size protruding from the introitus. The giant cervical polyp with size greater than 4 cm are rare in gravid women. Most of the obstetricians would prefer a conservative management for polyps in pregnancy. The present unusual case is of a 30-year-old primigravida, 19 weeks gestation with giant, symptomatic, significantly growing endocervical bifid appearing polyp. The case was managed with transvaginal polypectomy without any need of cervical cerclage. The giant polyp specimen measuring 7×3 cm though appeared clinically malignant, histopathology confirmed its benign aetiology. It is prudent to excise cervical polyp, when symptomatic and suspicious of malignancy. The gravid women undergoing cervical polypectomy may carry risk of premature delivery and hence pregnancy has to be carefully supervised.

Keywords

• endocervical polyps
• polypectomy
• preterm labour