{"paper_id":"827f0cc9-a899-4ec8-a084-8ffcc9e0ffb3","body_text":"Abstract\nCervical endometriosis is an uncommon site and a distinctive entity of this enigmatic disease. It has a different clinical presentation, more difficult diagnosis and dissimilar management approach. Endometriosis of the cervix can be classified into superficial, deep and polypoid.\nSuperficial cervical endometriosis may appear on cervical smears as atypical glandular cells and may present with intermenstrual spotting or postcoital bleeding. It is usually treated by colposcopic loop excision or cryocautery. Patients with deep cervical endometriosis complaint mainly of chronic pelvic pain and treated like traditional deep infiltrating endometriosis of the pelvis. The polypoid form frequently presents with abnormal vaginal bleeding and treated by polypectomy in most of the cases.\nThe case presented in this report was a presexual 13-year-old adolescent girl with a large polypoid cervical endometriosis (9 cm in maximum dimension) who presented with abnormal vaginal bleeding. Complete resection of the polyp was performed in two sessions of transhymenal vagino-resectoscopy. Diagnosis was only confirmed by histopathological examination. This was a rare example of the possible role of hysteroscopy in the management of some forms of endometriosis.\nSimilar content being viewed by others\nData Availability\nData and material used can be accessed when required.\nReferences\nInternational Working Group of AAGL, ESGE, ESHRE and, Tomassetti WES, Johnson C, Petrozza NP, Abrao J, Einarsson MS, Horne JI, Lee AW, Missmer TTM, Vermeulen S, Zondervan N, Grimbizis KT, De Wilde G. An international terminology for endometriosis, 2021. 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Am J Surg Pathol. 2004;28(3):285–97.\nFunding\nNo funds, grants or other support was received.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nConsent for Publication\nPatient and her parents have consented for publication.\nCompeting Interests\nThe author has no relevant financial or non-financial interests to disclose.\nAdditional information\nPublisher’s Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nElectronic Supplementary Material\nBelow is the link to the electronic supplementary material.\nSupplementary Material 1\nRights and permissions\nSpringer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.\nAbout this article\nCite this article\nAbdelhalim, D. Transhymenal Vaginoscopic Resection of a Large Polypoid Cervical Endometriosis in an Adolescent Girl: Case Report and Literature Review. Reprod. Sci. 32, 2964–2969 (2025). https://doi.org/10.1007/s43032-025-01934-3\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s43032-025-01934-3","source_license":"CC0","license_restricted":false}