LEIOMYOMAS

Leiomyomas are the most common pelvic tumors presenting in the reproductive Age group. Cervical fibroids are very rare contributing to 1 to 2 % of all uterine fibroids. We report a case of 40years nulliparous female presented with heavy menstrual bleeding Since 5 months. Bimanual examination revealed mass of size 7cm*6cms noted in the vagina and cervical os could not be felt. Ultrasound of pelvis revealed cervical fibroid of size 6.2 cm*6.1cm*6.6cms occupying lower part of uterus and cervix. On laparotomy showed a large  Fibroid of size 8cm*7cms arising from cervical region. Enucleation followed by total abdominal hysterectomy done. Large cervical fibroids are rare and a challenge to gynaecologist due to close proximity to bladder and ureter. Carefull dissection by expert hands help in management of such cases.