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Year : 2012  |  Volume : 2  |  Issue : 1  |  Page : 39-41

Giant cervical polyp complicating uterine fibroid and masquerading as cervical malignancy

Department of Obstetrics and Gynecology, Reproductive Health Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

Correspondence Address:
Muhammad A Abdul
Department of Obstetrics and Gynecology, Reproductive Health Unit, Ahmadu Bello University Teaching Hospital, Zaria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.101273

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Introduction: Huge cervical polyp causing diagnostic dilemma is rarely encountered in gynecologic practice. The objective of this study is to document a case of huge cervical polyp masquerading as cervical cancer seen and managed in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Case Report: A 39-year-old trader para 5 + 0 who presented at the gynecologic unit with a 7-year history of fleshy mass protruding from the vagina which had been progressively increasing in size but was reducible. Physical examination revealed severe pallor, 16-week sized abdomino-pelvic firm irregular mass, and a huge firm mass protruding through the vagina, measuring 30 cm by 20 cm. The vaginal mass was irregular in shape and occupied the whole of the vagina. The cervix was not reachable. Pelvic ultrasonography revealed features of multiple intramural and subserous fibroids and a right simple cystic adneaxeal mass about 6 cm in diameter. Anemia was corrected, and at examination under anesthesia, a diagnosis of huge cervical polyp (arising from the posterior cervix) with multiple uterine fibroids was made. She had vaginal polypectomy, total abdominal hysterectomy, and bilateral salpingo-ophorectomy using an abdomino-perineal approach. She did well postoperatively and subsequently on follow-up. Histology confirmed cervical fibroid polyp and uterine leiomyoma. Conclusion: Although giant cervical fibroid is rare, it may masquerade as cervical malignancy or uterine inversion. Proper evaluation is needed to make an accurate diagnosis.

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