Journal of Obstetric and Gynaecological Practices POGS

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VOLUME 3 , ISSUE 1 ( January-June, 2025 ) > List of Articles

CASE REPORT

A Rare Case Reports of Giant Degenerated Cervical Fibroid Polyp

Shobha Shiragur, Basavaraj Goudappagouda Patil, Swati Anilkumar Talwade

Keywords : Case report, Cervical clinical examination, Fibroids, Hysterectomy

Citation Information : Shiragur S, Patil BG, Talwade SA. A Rare Case Reports of Giant Degenerated Cervical Fibroid Polyp. J Obstet Gynaecol 2025; 3 (1):52-54.

DOI: 10.5005/jogyp-11012-0047

License: CC BY-NC 4.0

Published Online: 12-02-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Leiomyomas are the most frequent benign gynecological tumors. Only 3–5% of fibroids occur exclusively in the cervix, while most are throughout the uterus. The literature documents various sizes and presentations of cervical fibroids, including those that resemble an inverted uterus or malignancy. Fibroids may outgrow their blood supply as they expand, resulting in various degenerations. Cystic degeneration, which affects 4% of cases, is a severe edema aftereffect. On the other hand, unusual looks that coincide with degenerative processes may lead to diagnostic ambiguity. Case 1: A 28-year-old female para 2 living 2 presented with complaints of mass per vagina with foul-smelling discharge clinically diagnosed as degenerative cervical fibroid polyp; on evaluation with ultrasound, showed hyperechoic lesion arising from cervix taking significant color Doppler likely neoplastic and magnetic resonance imaging showed hetero-intense lesion from endocervical canal with areas of calcification and cystic degeneration. Intra-op fibroid measuring 10 × 10 cm from posterior lip of cervix and degenerated part from fibroid as polyp measuring 20 × 10 cm. The medical team discharged the patient in good condition. The HPE revealed leiomyoma with secondary changes and fibro-collagenous tissue. Case 2: A 30-year-old female para 3 living 3 presented with complaints of intermenstrual bleeding with foul-smelling discharge clinically diagnosed with giant cervical fibroid with degenerative polyp measuring 10 × 4 cm. Ultrasound showed a large heterogeneous hypoechoic lesion from the cervical canal suggestive of cervical fibroid with degenerative change. On evaluation, magnetic resonance imaging (MRI) showed a large capsulated oblong mass lesion involving the cervix measuring 22 × 13.5 × 14 cm suggestive of giant fibroid of the uterus, so we would like to conclude that large pedunculated cervical fibroids typically manifest as cervical malignancy, uterine inversion, abdominal bulk, or imprisoned procidentia. Their successful care can be aided by radiological imaging, appropriate intraoperative demarcation of pelvic anatomy, and preoperative clinical evaluation. Therefore, one should be aware of the unusual ways cervical fibroid presents and consider it while making a differential diagnosis for any pelvic tumor.


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