Giant hamartomatous polyp of the uterine cervix with heterologous mesenchymal tissue in a child: a case report

Journal of Medical Case Reports

Merwaise Baha¹  Haider Ali Malakzai²  Ahmed Maseh Haidary²  Jamshid Abdul-Ghafar²  Esmatullah Esmat²  Mujtaba Haidari² 

[1] Department of Internal Medicine, Medical Collage, Balkh University, Balkh, Afghanistan;Department of Pathology and Clinical Laboratory, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan;

关键词: Cervix;    Polyp;    Hamartoma;    Cartilage;    Female genital tract;   

DOI  :  10.1186/s13256-021-02878-3

来源: Springer

【 摘 要 】

BackgroundPolyps of the uterine cervix are one of the most common benign hyperplastic lesions occurring in the female genital tract that usually arise from the endocervical canal and are believed to be the result of reactive changes due to long-standing chronic inflammation, multiparty, and foreign bodies. Cervical polyps are usually small in size (less than 4 cm) that are commonly found in adult women; however, a few cases of giant polyps and the rare occurrence of these lesions in children have also been reported. Heterotopias and malignant transformation in cervical polyps are considered to be very rare.Case presentationWe present the case of a 10-year-old Afghan girl with a giant pedunculated mass protruding out of the uterine cervix that was accompanied by abdominal pain and mass sensation. The mass was completely excised by surgical intervention and the specimen was submitted for histopathological evaluation. Upon gross and microscopic examination, the characteristic findings of a hamartomatous polyp with heterologous mesenchymal tissue in the form of mature cartilage were seen. To the best of our knowledge, this is the first case of a giant (17.5 cm) hamartomatous polyp of the uterine cervix in this age group.ConclusionGiant hamartomatous cervical polyps rarely occur in patients below 10 years of age. The majority of these lesions are benign; however, a few cases with malignant transformation are also reported, which demands elaborate investigations into the etiopathogenesis and nature of the lesions.

【 授权许可】

CC BY