ADENOMYOMATOUS, LOWER UTERINE SEGMENT AND ENDOCERVICAL POLYPS IN CERVICOVAGINAL SMEARS

To the best of our knowledge, the specific features of polyps in cervi covaginal smears have not been described; that fact prompted us to und ertake this study. Fifty-seven cases of polyps below the uterine fundu s with cytohistopathologic correlations were analyzed. The tissue diag noses were 2 cases of adenomyamatous, 2 cases of lower uterine and 53 cases of endocervical polyps. In the cervicovaginal smears, adenomyoma tous polyps presented as cohesive fragments with frayed edges, reveali ng spindle cells with bipolar cytoplasmic processes. Lower uterine seg ment polyps showed peculiar tissue fragments composed of several fract ured arterioles connected by sheets of small stromal cells. Endocervic al polyps presented as smooth-bordered, polypoid tissue fragments, lin ed at the outermost layer with simple columnar cells, sandwiched withi n a pale intermediate zone and packed at their inner core with numerou s small, dark stromal cells. This specific finding, however, was obser ved in only one case. The remaining 52 patients had no specific findin gs in their smears.