INVASIVE SQUAMOUS CELL CARCINOMA IN CERVICAL POLYP

CASE REPORT

Abstract

Cervical polyps represent the most common benign pathology of the cervix, affecting between 2% and 5% of women. The case reports a 41-year- old patient, presenting cytology diagnosed with ASCUS in 2018. He presented occasional sinusorrhagia. At colposcopy, an exophytic, ulcerated, bleeding ectocervical polyp was observed, at 2 am, obstructing the JEC. The excision was performed with the high frequency surgery technique. The anatomopathological study found the presence of four fragments, the largest measuring 1.8 x 1.5 cm, with areas of invasive squamous cell carcinoma moderately differentiated into ectocervical polyp, with unevaluable margins. Magnetic resonance imaging of the pelvis without changes. Conization was proposed whose biopsy showed a 2.5 x 2.0 cm specimen, absence of residual invasive carcinoma, free surgical margins. During follow-up 90 days after conization, colposcopy performed at the time of cytology collection observed an ulcerated area at 2 am, approximately 0.5 cm, without iodine uptake. Robotic videolaparoscopic hysterectomy has been proposed associated with sentinel lymph node development. The anatomopathological study did not show residual disease and the patient was instructed to undergo outpatient follow-up. The risk of recurrence is low and should be investigated individually. It is important to have gynecological follow-up and early diagnosis for the proper management of cases, as reported above.