Female Gynecologic History And Physical (H&P) Practice Test

What is a typical next step after removing a cervical polyp in the office?

Observation only without pathology. Send the tissue for pathology after in-office removal. Immediate chemotherapy. Cervical cancer is assumed if a polyp is removed.

Correct Answer:

Send the tissue for pathology after in-office removal.

Explanation:

After removing a cervical polyp in the office, the typical next step is to send the tissue for pathology. This ensures accurate diagnosis because even though most polyps are benign, there is a real chance of underlying dysplasia or cancer that isn’t apparent from appearance alone. The pathology report confirms what tissue was removed and whether there are any precancerous changes or malignancy, guiding any needed follow-up. If the polyp is benign and shows no dysplasia, routine follow-up suffices. If the report shows CIN or cancer, further evaluation and management are required. Immediate chemotherapy would not be appropriate, and simply observing without pathology could miss significant pathology.

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