Cervical Fibroids with Its Management and Review of Literature: An Original Article

Abstract

Most of the leiomyomas are situated in the body of uterus. Fibroids arising from cervix are rare tumours accounting for 2% of all fibroids. A central cervical fibroid is usually either interstitial or sub mucous in origin and usually arises from supravaginal portion of the cervix so that it expands the cervix equally in all directions and can displace uterine vessels & ureters. On laparotomy it can be recognized at once, as it fills pelvis, with uterus on top of tumour like “The Lantern on the top of St. Paulsâ€. As they arise from deep pelvis and get impacted, surgery poses difficulties and complications are not uncommon. Here we present five cases of cervical fibroid. 4 of the cases had menorrhagia as the presenting symptom whereas one of the cases presented with urinary complaints. In 2 cases the patients were nullipara and were desirous of future fertility hence in one case fibroid was removed by vaginal myomectomy leaving the uterus intact where as in other case laparotomy with cervical fibroid enucleation done and in other three cases enucleation of fibroid was done to remove it followed by total abdominal hysterectomy.