How would a visible cervical polyp present and what is the typical management?

How would a visible cervical polyp present and what is the typical management?

• A. Flat mucosal lesion with no protrusion; observation only.
• B. Protruding cervical tissue with possible spotting; management includes in-office polypectomy or referral for removal and pathology.
• C. Vaginal mass unrelated to the cervix requiring no evaluation.
• D. Cervical polyps are always incidental findings that require no treatment.

Answer: (B)

Cervical polyps are benign growths that arise from the endocervical canal and typically present as a small to moderately sized mass that protrudes through the cervical os. They are usually red or pink and can be pedunculated or less commonly broad-based. Many patients notice spotting, especially after intercourse, or have increased vaginal discharge; some polyps are found incidentally on exam. The best management is straightforward removal with tissue available for pathology. In the clinic, the polyp can be grasped with polyp forceps and removed with gentle traction and scissors, with the base then cauterized or treated to reduce recurrence. The specimen is sent to pathology to ensure there is no dysplasia or malignancy. If the polyp is large, has a broad base, or removal is uncertain, referral for removal and pathology is appropriate. This explains why the described presentation and management—visible protruding tissue with possible spotting and in-office removal with pathology—fits best.

Cervical polyps are benign growths that arise from the endocervical canal and typically present as a small to moderately sized mass that protrudes through the cervical os. They are usually red or pink and can be pedunculated or less commonly broad-based. Many patients notice spotting, especially after intercourse, or have increased vaginal discharge; some polyps are found incidentally on exam. The best management is straightforward removal with tissue available for pathology. In the clinic, the polyp can be grasped with polyp forceps and removed with gentle traction and scissors, with the base then cauterized or treated to reduce recurrence. The specimen is sent to pathology to ensure there is no dysplasia or malignancy. If the polyp is large, has a broad base, or removal is uncertain, referral for removal and pathology is appropriate. This explains why the described presentation and management—visible protruding tissue with possible spotting and in-office removal with pathology—fits best.