Management of challenges with large cervical masses

Authors

  • Mansi Chugh Department of Obstetrics and Gynecology, Government Medical College and Hospital, Chandigarh, Punjab, India
  • Bharti Goel Department of Obstetrics and Gynecology, Government Medical College and Hospital, Chandigarh, Punjab, India
  • Alka Sehgal Department of Obstetrics and Gynecology, Government Medical College and Hospital, Chandigarh, Punjab, India
  • Phiza Aggarwal Department of Pathology, Government Medical College and Hospital, Chandigarh, Punjab, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241451

Keywords:

Benign tumors, Cervical adenomyomas, Large cervical masses

Abstract

Cervical adenomyomas are extremely rare benign tumors and are often overlooked as a differential diagnosis of large cervical masses. Herein, we report a case of a 23-year-old nulliparous woman with polypoid adenomyoma arising from the endocervix. The mass was filling up the vagina and stretching the anterior fornix up into the lower abdomen, hence the origin of the mass could not be identified on clinical examination or imaging. Therefore, management of this mass was challenging. Excision of this mass was done using an abdominoperineal approach. Histologically, the polypoid lesion was composed of endocervical epithelium with interlacing fascicles and bundles of tumor cells intermixed with endocervical glands. Clinicians should be aware of such lesions so that they can decide upon the appropriate course of management.

References

Maldonado L. Adenomyoma. 2016. Available at: https://www.pathologyoutlines.com/topic/cervixadenomyoma.html. Accessed on 02 March 2024.

Mahmoudinia M, Mirteimoori M, Attaranzadeh A. Adenomyomas of the Uterine Cervix in the First-Trimester of Pregnancy: A Case Report. Iran J Med Sci. 2019;44:427-9.

Athas JM, Bluemke DA, Isacson C, Sheth S. Large cervical adenomyoma occurring in a first-trimester gravid uterus: radiologic-pathology correlation. AJR Am J Roentgenol. 1996;167:514-5.

Casey S, McCluggage WG. Adenomyomas of the uterine cervix: report of a cohort including endocervical and novel variants. Histopathology. 2015;66:420-9.

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Published

2024-05-29

Issue

Section

Case Reports