A case of UV prolapse with cervical intraepithelial neoplasia 2

Abstract

UV prolapse is a common condition seen in India, usually associated with multiparity and in the post-menopausal age group. Cervical cancer is also the most common genital tract malignancy encountered in the developing countries like India. The continual injury and mechanical irritation of the prolapsed cervix can lead to infection, bleeding, ulcers and occasionally malignancy.  We present a case of a 44 year old woman who presented with prolapse and hypertrophied anterior lip of the cervix with a decubitus ulcer, which on biopsy was confirmed to be a CIN 2 lesion. Though prolapse and cancer of the cervix are common conditions seen in developing countries their co-existence is found rarely. Hence cytological evaluation with pap smear and if needed colposcopic guided cervical biopsy should be mandatorily carried out in the pre-operative work up.