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Huge cervical fibroid-polyp mimicking cervical cancer: a case report


Obstetrics & Gynecology International Journal
Ezenwaeze MN,1 Nweze SO,1 Onah LN,1 Ugwu IA,1 Nevo CO,1 Odugu BU,1 Dinwoke VO,1 Mba SG,1 Ortuanya KE,1 Awkadigwe FJ,1 Nwankwo BC,2 Nwankwo CN,3 Umezulike HE,4 Eze OE,5 Enyinna P,1 Omeke CA,1 Chukwma ST,6 Ngozi IO7

Abstract

Huge cervical polyps are rarely encountered in gynaecological practice and often pose a diagnostic dilemma. They usually mimic cervical malignancy, uterine inversion or prolapse in their presentation. We report a case of a huge cervical fibroid-polyp masquerading as cervical cancer. The patient was a 30-year-old nulliparous lady who presented with abnormal vaginal bleeding which was sometimes postcoital, a fleshy and partly necrotic vaginal mass with offensive vaginal discharge for about one year. These clinical features heightened the suspicion of a possible cancer of the cervix. Following basic laboratory investigations, the patient had a thorough examination under anesthesia with subsequent polypectomy (excision biopsy). She had a complete resolution of her symptoms and an uneventful postoperative recovery. Histopathological study of the excised tissue confirmed a leiomyomatous polyp. A high index of suspicion with proper patient evaluation are key in making accurate diagnosis and treatment.

Keywords

cervical fibroid-polyp, polypectomy, cervical cancer

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