What Is a Fibroepithelial Polyp?

Disease name. Department of chronic cervicitis. Due to chronic inflammation, the cervical canal mucosa proliferates locally and gradually protrudes to the outside to form polyps. The roots of polyps are mostly attached to the external cervix, or in the cervical canal. One or more, ranging from less than 1 cm in diameter, bright red, soft, easy to bleed, and slender. Microscopic examination shows that the polyp is covered with a layer of columnar epithelium, contains cervical glands, interstitial tissue has loose connective tissue, rich microvessels, often accompanied by infiltration of inflammatory cells, and clinical manifestations are the same as chronic cervicitis. Treatment: Cervical polyp removal.

Disease name. Department of chronic cervicitis. Due to chronic inflammation, the cervical canal mucosa proliferates locally and gradually protrudes to the outside to form polyps. The roots of polyps are mostly attached to the external cervix, or in the cervical canal. One or more, ranging from less than 1 cm in diameter, bright red, soft, easy to bleed, and slender. Microscopic examination shows that the polyp is covered with a layer of columnar epithelium, contains cervical glands, interstitial tissue has loose connective tissue, rich microvessels, often accompanied by infiltration of inflammatory cells, and clinical manifestations are the same as chronic cervicitis. Treatment: Cervical polyp removal.

English name

cervical polyp

Common causes

Chronic inflammatory stimulus

Causes and common diseases of cervical polyps

The lamina propria of the cervical canal constitutes a polyp of the cervix, whose tissue structure is covered with epithelial and subcutaneous crypt tissue. Generally, the surface epithelium produces ulcers, and the crypt tissue below it will become granulation tissue with certain characteristics, that is, polyps with visible symptoms. If the surface epithelium has different squamous metaplasias, this polyp will have cervical crypts. Dilatation, sometimes these polyps are composed of mucus surrounding more sacs, which are overlaid to form squamous epithelium. If the polyp is dysplastic, it may turn into epidermal or adenocarcinoma, which threatens women's life and health.

Differential diagnosis of cervical polyps

The morphological structure of cervical polyps has the following points: adenoma-like type, which is mainly a glandular hyperplasia, which is piled and diffuse, with a small amount of interstitial; glandular cyst type, there are Large volume, cut surface seen small capsules full of mucus, little interstitial; granulation type, the surface epithelium is columnar, the main structure is granulation tissue; hemangio-like type, a little vaginal bleeding after a holiday, a mirror Examination showed abundant blood vessels; squamous metaplasia, with columnar epithelium and interstitial glands appearing on the surface; fibrous, fibrous connective tissue is the main polyp interstitial. Polyp decidual reaction, at this time polypoid mesenchymal cells become decidual cells, microglandular hyperplasia grows too fast; high cervical polyps, polyps are located in the cervical isthmus, high cervical canal.

Sonographic diagnosis of cervical polyps: (1) single or multiple low, medium, or slightly high echoes in the cervical canal; (2) clear boundaries, regular morphology, and uniform or less uniform internal echoes; (3) pedicles and the cervix The tube or isthmus mucosa are connected; (4) smaller polyps can show a "dangle" sign in the cervix; (5) fluid can be around the mass; (6) larger mass can protrude into the vagina through the external mouth of the cervix Or outside the vagina; (7) the color Doppler blood flow imaging shows a richer strip-shaped color blood flow signal from the pedicle into the polyp; (8) the pulse Doppler spectrum morphology is arterial, RI:> 0.6.

Cervical Polyp Examination

Increased leucorrhea, small vaginal bleeding, abnormal yellow vaginal discharge, post-menopausal vaginal bleeding, and unmarried vaginal prolapse. Using B-ultrasound, cervical canal occupying lesions, pathological examination belongs to fibroepithelial cervical polyps.

Cervical polyp treatment principles

Cervical polyps are benign diseases of gynecology, with less malignant changes, and the rate of malignant changes is only 0.2% to 0.4%. It can be treated by polyp removal, but it is necessary to pay attention to the chronic inflammation in the cervix in time and eliminate it to avoid recurrence of polyps. Regular inspections are performed at the hospital. The first inspection is performed 3 months after the operation, and the inspection is performed once every six months and one year later. Do a good job of health care during menstruation, postpartum and post-abortion, strengthen vaginal hygiene, cultivate good living habits, and change bedding frequently. Nowadays, the main method of treatment is radiofrequency treatment, which can quickly scab the diseased tissue site and avoid the spread of erosive tissue. After the patient enters the recovery period, the scabs naturally fall off, resulting in new stratified squamous epithelium, thereby Treatment of cervical polyps.