Cervical Mass A Large Cervical Mass Presenting as PMB Estimated reading: 1 minute 224 views Contributors 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. Sonograms Cervical lesion in longitudinal view with callipers Cervical lesion in axial view with callipers Endometrial cavity fluid CDI showing no flow in the cervical lesion Echogenic content in the endometrium about to migrate into the cervix Echogenic content of the endometrium migrating into the cervix Keywords A Large Cervical Mass Presenting as PMB - Previous Cervical Mass Next - A Large Cervical Mass Presenting as PMB Ovarian/Ovaries Published on: November 25, 2024
