Cervix, endocervical polyp [LMP90367]

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Diagnostic Modality: 
Whole Slide Image
Disease Category: 
Cellular Responses to Stress and Toxic Insults: Adaptation, Injury, and Death
Diagnosis: 
Endocervical polyp with gestational changes
Species: 
Human
Organ System: 
Female Genital Tract
Gender: 
Female
Age: 
39 years
Diagnosis Code: 
ICD-10: N84.1
Slide Contributor Information
Mrkonjic, M., Chang, M.

Keywords

cervix, endocervical polyp, gestational changes, pregnancy, female genital tract

Clinical History

Patient is a pregnant 39 year-old woman at 28+2 weeks gestation. She was noted to have a cervical polyp which was subsequently excised. Her most recent Pap test 10 months prior was negative.

Clinical Discussion

The findings are of a benign endocervical polyp with gestational changes. Prominent within the polyp are expanded, branching endocervical glands. The glands have polarized nuclei and lack cellular atypia. The background stroma contains prominent inflammatory infiltrate interspersed between the smooth muscle cells. The changes represent a brisk reactive proliferation in the context of pregnancy, and should not be over-interpreted as malignant.