A huge prolapsed cervical leiomyoma: A case report.

Area of Science:

• Gynecology
• Oncology
• Pathology

Background:

• Uterine leiomyomas are common pelvic tumors in women.
• Cervical leiomyomas are a rare subtype, with vaginal prolapse occurring in 2.5% of cases.
• Management options include myomectomy or hysterectomy, influenced by tumor characteristics and patient factors.

Observation:

• A 47-year-old woman presented with a large, necrotic cervical mass prolapsing into the vagina.
• CT imaging revealed a 30 cm anterior cervical mass.
• The patient underwent a total hysterectomy for the cervical leiomyoma.

Findings:

• The case involved a rare, non-pedunculated, polypoidal cervical leiomyoma.
• Prolapsed cervical leiomyomas can outgrow their blood supply, leading to necrosis.
• Histopathology confirmed a benign cervical leiomyoma without malignancy.

Implications:

• Large, prolapsed cervical leiomyomas present surgical challenges due to proximity to vital structures.
• Gangrenous cervical leiomyomas are a rare but disabling complication.
• Hysterectomy remains a primary treatment option for such cases.