Gliosis of the cervix.

Pemasiri Upali TELISINGHE, Ghazala KAFEEL, Hla OO,

Department of Pathology, RIPAS Hospital, Brunei Darussalam.

ABSTRACT

Cervical glial polyps or gliosis of uterine cervix are rare. These are rare polypoidal mesenchymal tumours and usually manifest with vaginal bleeding, post-coital bleeding or cervical discharge. Microscopically these polyps show heterotopic glial tissue with varying degree of gliosis. Immunoperoxidase staining with Glial fibrillary acidic protein (GFAP) confirms the glial nature of the polyp. Controversies remain regarding the origin. Some consider them to be foetal implants following termination of pregnancy whilst others consider them to be metaplastic in nature. We report a rare case of cervical gliosis that was diagnosed after histological examination of the resected specimen in a 32-year-old lady who presented with irregular per vagina bleeding.

Keywords: Cervical polyp, gliosis, glial fibrillary acidic protein, inter-menstrual bleeding

Brunei Int Med J. 2011; 7 (3): 173-176

Correspondence author: Ghazala KAFEEL, Department of Pathology, RIPAS Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam. Tel: +673 2242424 ext 8518. E mail: gbilgrami@hotmail.com