A RARE PRESENTATION OF BENIGN ENDOCERVICAL POLYP

Abstract

15 year old girl presented with mass descending per vaginum and increasing white discharge since 4-5 months. She had regular cycles 5-628-30 but had    menorrhagia and spasmodic dysmenorrhoea. She had no other comorbidities. This patient underwent examination  under anaesthesia. It showed a large 6x6x3cm polyp arising from the endocervix between 7 and 9 o clock positions. The same was excised .The histopathology was reported as   benign endocervical polyp. She developed secondary   haemorrghage seven days after surgery. Examination under anaesthesia was done ,bleeders were controlled and vagina was packed .She was discharged in a stable condition. This case is unique due to the following Very young patient, Large size of the tumour, Multilobulated mimicking a malignancy. Usually endocervical polyps are very small, around 1x1cm in size. They occur during the reproductive age group, around 40 years. Most of them are benign, but always need to be biopsied since there is always a possibility of associated  hyperplasia. Management is mainly surgical. Easy removal is usually possible by twisting the polyp so as to evulse it from the base. But if it is large cauterisation of the base must be done to prevent bleeding.