Angioleiomyoma of uterine cervix – a common tumour at rare site

Abstract

Angioleiomyoma of the uterine cervix is a rare benign tumor of this site characterized by smooth muscle proliferation intermixed with prominent vascular structures. At cutaneous locations it presents as painful nodule however cervical angioleiomyoma clinically manifests with non-specific, mimicking other gynecological conditions such as fibroids or adenomyosis. No specific clinical or radiological features are noted hence histopathology remains the gold standard for diagnosis and sometimes immunohistochemistry is helpful in confirming smooth muscle origin. This case report details a case of uterine cervical angioleiomyoma in a 45-year-old woman presenting with abnormal excess uterine bleeding and pelvic pain. On radiology a diagnosis of cervical fibroid polyp was rendered. Following which surgical excision of the mass revealed the diagnosis, confirmed by histopathological and IHC evaluation. While angioleiomyoma is rare at this site may mimic benign or vascular tumors clinically or even microscopically. Hence correct and timely diagnosis is essential for appropriate clinical management.