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. 2011 Feb;86(2):147-50; quiz 151.
doi: 10.4065/mcp.2010.0512. Epub 2011 Jan 26.

Abnormal cervical appearance: what to do, when to worry?

Affiliations

Abnormal cervical appearance: what to do, when to worry?

Petra M Casey et al. Mayo Clin Proc. 2011 Feb.

Abstract

Many clinicians encounter cervical lesions that may or may not be associated with cytologic abnormalities. Such abnormalities as ectropion, Nabothian cysts, and small cervical polyps are quite benign and need not generate concern for patient or clinician, whereas others, including those associated with a history of exposure to diethylstilbestrol, cervical inflammation, abnormal cervical cytology, and postcoital bleeding, should prompt additional evaluation. Further, in some patients, the cervix may be difficult to visualize. Several useful clinical suggestions for the optimal examination of the cervix are presented.

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Figures

FIGURE 1.
FIGURE 1.
Cervical abnormalities: A, Ectropion; B, Endocervical polyp; C, Nabothian cyst. From references -.
FIGURE 2.
FIGURE 2.
Cervical lesions requiring further attention: A, Cervical cancer; B, Cervical endometriosis; C, Cockscomb cervix (related to diethylstilbestrol [DES] exposure in utero); D, Vaginal adenosis (related to DES exposure in utero); and E, Cervicitis. From references -.

References

    1. Section on Women's Health (APTA) Ectropion. http://womenshealthapta.org/secure/ob101/My%20Documents4/Text/Cervical%2... Accessed December 22, 2010
    1. Brookside Associates Endocervical polyp. http://www.brooksidepress.org/Products/obgyn_101_entrance.htm. http://www.brooksidepress.org/Products/obgyn_101_entrance.htm Accessed December 22, 2010.
    1. Section on Women's Health (APTA) Nabothian cyst. http://womenshealthapta.org/secure/ob101/My%20Documents4/Text/Cervical%2... Accessed December 22, 2010
    1. Katz VL, Lobo RA, Lentz G, Gershenson D. Comprehensive Gynecology. 5th Ed. Philadelphia, PA: Mosby/Elsevier; 2007:437-438
    1. Goldacre MJ, Loudon N, Watt B, et al. Epidemiology and clinical significance of cervical erosion in women attending a family planning clinic. Br Med J. 1978;1(6115):748-750 - PMC - PubMed

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