Presentation
The patient presented with vaginal bleeding and lower abdominal pain. Ultrasound revealed a heterogeneous mass at the level of the cervix.
Patient Data
There is protrusion of the cervix into the upper vagina.
Loss of normal low signal intensity is replaced by intermediate signal intensity at the level of the cervical internal os, appearing as an infiltrative lesion with associated signal intensity changes at both the lower and upper levels. A disrupted outer hypointense ring with irregular margins extends downward to involve the vagina at the posterior fornix and anterolateral inner wall of the upper vagina. This extends to the left lateral wall of the uterus with subtle involvement of the parametrium.
Case Discussion
According to the classification of the FIGO staging system, this case suggests stage IIB, with no involvement of the lower third of the vagina or pelvic side wall and no lymph nodes affected.
Other possible differential diagnoses for cervical lesions and abnormal bleeding include sexually transmitted infections (STIs), cervical polyps, adenomyosis, endometriosis, and fibroids. Diagnosis may require further evaluation of symptoms and testing to determine whether the disease is cervical cancer, including a biopsy for histopathological analysis.
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