Huge cervical fibroid-polyp mimicking cervical cancer: a case report
- Obstetrics & Gynecology International Journal
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Ezenwaeze MN,<sup>1</sup> Nweze SO,<sup>1 </sup>Onah LN,<sup>1</sup> Ugwu IA,<sup>1</sup> Nevo CO,<sup>1</sup> Odugu BU,<sup>1 </sup>Dinwoke VO,<sup>1 </sup>Mba SG,<sup>1 </sup>Ortuanya KE,<sup>1</sup> Awkadigwe FJ,<sup>1</sup> Nwankwo BC,<sup>2</sup> Nwankwo CN,<sup>3</sup> Umezulike HE,<sup>4</sup> Eze OE,<sup>5</sup> Enyinna P,<sup>1</sup> Omeke CA,<sup>1</sup> Chukwma ST,<sup>6</sup> Ngozi IO<sup>7</sup>
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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