[Urinary retention secoundary to cervical myoma large items]

Area of Science:

• Gynecologic Oncology
• Reproductive Medicine
• Surgical Pathology

Background:

• Cervical myomas are uncommon uterine tumors.
• Cystic degeneration can alter their typical presentation.
• Accurate preoperative diagnosis is crucial for appropriate management.

Observation:

• A 40-year-old woman presented with abdominal discomfort, difficulty walking, dyspareunia, and urinary retention.
• Initial ultrasonography suggested a cystic mass consistent with a right ovarian cyst.
• Surgical management involved a total abdominal hysterectomy.

Findings:

• Histopathological examination revealed a uterus with a fundal myoma (4 cm) and a large posterior cervical myoma (15x12 cm).
• The cervical myoma exhibited cystic features, contributing to the diagnostic challenge.
• The cystic appearance mimicked a primary ovarian pathology.

Implications:

• Cystic cervical myomas can present atypically, challenging diagnostic accuracy.
• Distinguishing these from ovarian masses is vital for surgical planning.
• This case underscores the importance of thorough histopathological evaluation in gynecologic surgery.