Cervical fibroid: an uncommon presentation

Mendiratta, Sumanlata; Dash, Soumya Ranjan; Mittal, Rajni; Dath, Suman; Sharma, Manisha; Sahai, Rajiv Nandan

doi:10.18203/2320-1770.ijrcog20174084

Cited by 4 publications

(8 citation statements)

References 3 publications

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“…Cervical fibroids are rare and can be anterior, posterior, lateral and central. It commonly occurs as a single fibroid but can also be multiple and is either interstitial or subserous [2,3,5,6] . Rarely can it be sub mucosal or polypoidal [3,6] .…”

Section: Discussionmentioning

confidence: 99%

“…It commonly occurs as a single fibroid but can also be multiple and is either interstitial or subserous [2,3,5,6] . Rarely can it be sub mucosal or polypoidal [3,6] . In this study we noted 2 central interstitial fibroids and two polypoidal variety.…”

Section: Discussionmentioning

confidence: 99%

“…In this study we noted 2 central interstitial fibroids and two polypoidal variety. Very few cases of large isolated cervical fibroids have been reported in literature as excessive growths in cervical fibroids are rare due to the paucity of smooth muscles in the cervical stroma [1,2,3,5,6] . Fibroids are oestrogen dependent and usually occur in the reproductive age group.…”

Section: Discussionmentioning

confidence: 99%

“…Hence retention of urine, constipation and abdominal mass are common symptoms. Lateral cervical fibroid that begins at the side of the cervix expands the broad ligament [2,5,6] . When the ureter and uterine artery are related to the fibroid, they will always be extracapsular [6] .…”

Section: Discussionmentioning

confidence: 99%

“…Lateral cervical fibroid that begins at the side of the cervix expands the broad ligament [2,5,6] . When the ureter and uterine artery are related to the fibroid, they will always be extracapsular [6] . This knowledge makes the surgical procedure relatively safe.…”

Section: Discussionmentioning

confidence: 99%

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Varied presentation and management of cervical fibroids: A case series

Harikanth¹,

Shrigiriwar²,

Ramteke³

2021

Int. J. Clin. Obstet. Gynaecol.

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Cervical fibroids are rare pelvic tumours with varying clinical presentations. Clinical and radiological evaluation of these fibroids help in deciding the treatment approach. There will be surgical difficulties due to their close proximity to pelvic organs like bladder, ureters and rectum. Hence proper intraoperative delineation is important. We present a series of four cases of cervical fibroid with different presentations and management. All these cases were evaluated and surgically managed without complications. The first and third case presented with huge mass per abdomen and pressure symptoms. Both underwent exploratory laparotomy where fibroid was enucleated followed by hysterectomy. The second and fourth case mimicked like a large polyp. In both the cases, cervical fibroid was excised vaginally and was followed by hysterectomy. Histopathological examination was suggestive of cervical leiomyoma. Therefore, cervical fibroid as a differential diagnosis should always be considered while evaluating any pelvic masses.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Varied presentation and management of cervical fibroids: A case series

Harikanth¹,

Shrigiriwar²,

Ramteke³

2021

Int. J. Clin. Obstet. Gynaecol.

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Cervical fibroid presenting with heavy menstrual bleeding and symptomatic microcytic hypochromic anaemia

Dunphy,

Fowler,

Sukumar

2024

BMJ Case Rep

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Leiomyomas or fibroids occur in 20%–40% of women of reproductive age and are mostly located in the uterine corpus, with only 1%–2% in the cervix. Fibroids may present with abnormal uterine bleeding, pelvic pain, dysmenorrhoea and pressure-related or urinary symptoms, and diagnosis requires imaging studies. Hysterectomy or myomectomy remains the cornerstone of management but is challenging due to the increased risk of urinary tract injuries and intraoperative bleeding caused by distorted anatomy. We present the case of a perimenopausal woman in her early 50s who complained of heavy menstrual bleeding, was diagnosed with a cervical fibroid and, while on the waiting list for a hysterectomy, suffered a collapse and presented to the emergency department with anaemia requiring multiple blood transfusions. A cervical fibroid should be considered in the differential diagnosis of a woman presenting with heavy menstrual bleeding and symptomatic anaemia.

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Cervical fibroid: A diagnostic dilemma and operative challenge – one year study

Dahiya,

Saini

et al. 2024

IJOGR

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: Cervical fibroids are very rare, with varying clinical presentations, and account for only 1–2% of cases. Cervical fibroids are enigmatic as they present with varying symptoms and simulate several clinical entities, for instance, a large cervical polyp, incarcerated procidentia, chronic uterine inversion, and the Ca cervix. : A two-year retrospective analysis of women diagnosed with cervical leiomyoma was conducted at Obstetrics and Gynaecology department, PGIMS Rohtak (a tertiary care institute in Northern India). A total of 24 cases diagnosed with cervical fibroid (CF) were studied. 75% of the females had vaginal bleeding, 44.6% had heavy menstrual bleeding, 33.3% had irregular bleeding, and one had postmenopausal bleeding. 41.6% had urinary symptoms; 1.5% complained of vaginal discharge; difficulty in stools (16.6%); and leiomyosarcoma (8.3%). We cannot find a clear demarcation of presenting symptoms between anterior and posterior fibroid. It was discovered that the development of malignancy and bladder and intestinal problems was linked to an increase in CF mass, while severe anaemia and vaginal bleeding were not. A cervical fibroid is mostly benign, can be present at extremes of age, and its atypical presenting symptoms pose difficulty in diagnosis. Vaginal bleeding and retention of urine are the most common symptoms. Central and supravaginal fibroids are difficult to operate. Proper pre-operative delineation of altered anatomical structure are essential for choosing the correct modality of treatment. In large cervical fibroids, suspected malignancy before surgery and hidden cervical malignancy can coexist.

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Cervical fibroid: an uncommon presentation

Cited by 4 publications

References 3 publications

Varied presentation and management of cervical fibroids: A case series

Varied presentation and management of cervical fibroids: A case series

Cervical fibroid presenting with heavy menstrual bleeding and symptomatic microcytic hypochromic anaemia

Cervical fibroid: A diagnostic dilemma and operative challenge – one year study

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