DOI: 10.36347/sjmcr.2014.v02i02.003

Pages: 78-79

Huge cervical polyp causing diagnostic dilemma is rarely encountered in gynaecologic practice. The objective of this study is to document a case of huge cervical polyp masquerading as cervical cancer seen and managed at PDVVPF’s Medical College & hosp, Ahmednagar. A 45 year multiparous not living with husband, presented with fullness of vagina, mass coming out of introitus since 18 months, foul smelling discharge and on and off per-vaginal bleeding since 1 year On local examination large irregular mass about 20x10x7cm seen outside the introitus covered with infected shaggy dirty white membrane that bleeds on touch. On Bimanual examination: Uterus was bulky about 6 to 8 weeks gestational size and mass was coming through cervix. Differential diagnosis of fibroid-polyp, ca cervix, fibrosarcoma was considered. Pap smear and cervical biopsy showed only inflammatory changes with no evidence of malingnancy. After 2 blood transfusion and control of local infection with systemic antibiotic, patient was taken for Abdominal Hysterectomy. The mass weighed 1.2 kg. Post operative recovery was uneventful histopathological reportconfirmed Fibroid-polyp. Although giant cervical fibroid is rare, it may masquerade as cervical malignancy or uterine inversion. Proper evaluation is needed to make an accurate diagnosis, anticipate operative challenges and strike a judicious and rational approach about deciding the route of hysterectomy.