A 35-year-old woman presented with complaints of itching in
the perineal region and something coming out per vaginum. A general and
systemic examination was unremarkable. On per speculum examination, a
pedunculated polyp measuring 2.5×1.5×0.5 cm with a stalk of 0.8 cm was seen
coming out from the anterior vaginal wall.
Multiple tiny projections were present on the surface of
polyp. On per vaginal examination, uterus was of normal size and bilateral
fornices were free. Ultrasound examination showed normal sized uterus with endometrial
thickness of 5 mm.
There was no adnexal mass seen. Under local anesthesia and full aseptic
conditions, polyp was excised and submitted for histopathological examination.
Microscopic examination showed a polyp lined by stratified
squamous epithelium with underlying loosely arranged vascularized stroma and
infiltrates of lymphocytes, plasma cells and mast cells. Stratified squamous
epithelium exhibited focal koilocytic changes and focal collection of
neutrophils.
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