Hi i had a hysterectomy (still have both overies)in 2010 due to very early stage one cervical cancer. I went in for my yearly check up and the mid wife found 3 polyps on the cervical cuff. I have an appointment this week to have them removed. My question is what are the chances that it is cancer again ?
Polyp-appearing tissue on the vaginal cuff are common after hysterectomy in women. They are nubs of the regular skin of the vagina that got trapped in the area that was stitched, or a buildup of scar tissue where the stitches once were. Usually they are the same color as the rest of the vagina and have no red or bleeding portions.
Taking a PAP test of the area is sufficient to rule out a cancer recurrence. If your vaginal PAP test is normal and negative for HPV, the "polyps" do not need to be removed or biopsied. If you have an abnormal PAP, then a colposcopy and cervical biopsy would be indicated.
So I sincerely doubt this is a cancer recurrence, as recurrent cancer usually is microscopic and will just be discovered on a follow-up PAP smear.
I hope I was able to adequately answer your question today and that this information was reassuring.
Best wishes,
Dr. Brown
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Could Polyps In Cervical Cuff Indicate Cancer?
Hello, and I hope I can help you today. Polyp-appearing tissue on the vaginal cuff are common after hysterectomy in women. They are nubs of the regular skin of the vagina that got trapped in the area that was stitched, or a buildup of scar tissue where the stitches once were. Usually they are the same color as the rest of the vagina and have no red or bleeding portions. Taking a PAP test of the area is sufficient to rule out a cancer recurrence. If your vaginal PAP test is normal and negative for HPV, the polyps do not need to be removed or biopsied. If you have an abnormal PAP, then a colposcopy and cervical biopsy would be indicated. So I sincerely doubt this is a cancer recurrence, as recurrent cancer usually is microscopic and will just be discovered on a follow-up PAP smear. I hope I was able to adequately answer your question today and that this information was reassuring. Best wishes, Dr. Brown