A Large Cervical Mass Presenting as PMB

Clinical History

A 64-year old lady presented with a 2-week history of postmenopausal vaginal bleeding. A gynaecology ultrasound was requested to assess for endometrial thickening.

Case Description

Transabdominal and transvaginal ultrasound were performed to assess the uterus, endometrium and ovaries. Ultrasound revealed a 3.3 cm echogenic oval-shaped lesion in the cervical cavity (cervical mass) with some fluid around it. The endometrium measured 0.7 cm and contained some echogenic materials that could be seen to migrate towards the cervical canal.

Diagnosis/ Discussion/ Treatment/ Follow up

Based on the ultrasound appearances and the patient’s symptoms, the features of the cervical lesion are suggestive of a cervical mass or polyp. A low-lying intracavitary fibroid could be a possible differential diagnosis.