From the Guidelines
Papillary endocervicitis is not a recognized medical term in the provided evidence. The term "endocervicitis" refers to inflammation of the endocervical canal, but "papillary endocervicitis" is not mentioned in the study by the American Academy of Pediatrics 1.
Key Points to Consider
- The study focuses on the gynecologic examination for adolescents in the pediatric office setting, including speculum examination and inspection of the cervix for lesions or discharge 1.
- The cervix should be completely visualized to note the presence of any lesions, and the presence or absence of an ectropion on the exocervix 1.
- Friability and hyperemia of the cervix can indicate infection with an STI, and white plaques on the cervix that cannot be removed with a swab could indicate condyloma acuminata 1.
- The provided evidence does not support the use of the term "papillary endocervicitis" in medical practice, and it is not a recognized condition in the context of the study 1.
Clinical Implications
- Clinicians should focus on recognizing and treating conditions such as bacterial vaginosis, trichomoniasis, and other STIs, which can cause symptoms and signs similar to those that might be attributed to "papillary endocervicitis" 1.
- A thorough gynecological examination, including speculum examination and possible colposcopy and biopsy, may be necessary to distinguish between different cervical pathologies 1.
From the Research
Medical Term: Papillary Endocervicitis
- Papillary endocervicitis is a medical term that refers to a specific type of endocervical change.
- According to the study 2, papillary endocervicitis was observed in 9 cases (18%) of the 50 cervical biopsy samples, indicating its presence as a non-neoplastic lesion of the cervix.
- The study 2 also mentions that the patients with papillary endocervicitis were part of a larger group that reported white discharge per vaginum as a common clinical symptom.
- There is no direct mention of papillary endocervicitis in the other studies 3, 4, 5, or 6, which focus on different aspects of cervical health, such as cervicitis, endometrial hyperplasia, and endocervical curettage.
Related Conditions
- Cervicitis, which is the inflammation of the cervix, is a related condition that can cause symptoms such as increased vaginal discharge and intermenstrual bleeding 3.
- Endocervical changes, including papillary endocervicitis, can be observed in cervical biopsy samples, and their diagnosis is important for understanding the underlying causes of cervical symptoms 2.
- Other non-neoplastic lesions of the cervix, such as squamous metaplasia and nabothian follicle cyst, can also be observed in cervical biopsy samples 2.