ABSTRACT
We describe a number of patients with persistent symptoms of vaginal discharge and discomfort, dyspareunia and postcoital bleeding. They presented 2-4 months following delivery with episiotomy. In these patients, the symptoms were associated with localised granulation tissue polyps, on the episiotomy site. Simple ablation resulted in rapid and effective relief of the symptoms. These lesions may be more common in clinical practice than is suggested by the lack of published reports. They should be looked for in women who may suffer from symptoms for several months after delivery.
Subject(s)
Cryosurgery/methods , Episiotomy/adverse effects , Polyps/etiology , Vagina/metabolism , Adult , Dyspareunia/etiology , Female , Granulation Tissue/surgery , Granulation Tissue/ultrastructure , Hemorrhage , Humans , Pain/etiology , Polyps/surgery , Polyps/ultrastructure , Postpartum Period , Pregnancy , Silver Nitrate/administration & dosageSubject(s)
Intestine, Small/diagnostic imaging , Polyarteritis Nodosa/diagnostic imaging , Barium Sulfate , Humans , Intestinal Diseases/diagnosis , Intestinal Diseases/diagnostic imaging , Intestinal Diseases/pathology , Male , Middle Aged , Polyarteritis Nodosa/diagnosis , Polyarteritis Nodosa/pathology , RadiographyABSTRACT
A study of the cytological appearances of benign and malignant colorectal adenomatous polyps is reported. The aim of the study was to characterize the cytological features of adenomatous polyps and predict the likelihood of malignancy using cytology. A five grade classification of colorectal cytology has been developed and the characteristic appearances of cells from adenomatous polyps are described. The reproducibility of cytological diagnosis based on this classification has been tested in 120 smears from normal mucosa and adenomatous polyps (including polyp cancers). Correlation with histology was achieved in 88% and correlation of the cytological diagnosis between two observers was achieved in 84%. We conclude that cytology can be used reliably as an adjunct to histology in the assessment of malignancy of adenomatous polyps.