Abstract
Teaching Point: Adenoma malignum is a rare, non-HPV associated subtype of mucinous adenocarcinoma of the cervix, of which we present an exceptional case that was discovered during the third trimester of pregnancy.
Highlights
A 35-year-old 38-weeks-pregnant woman was referred to the gynaecology department of our hospital for the diagnostic workout of excessive pre-labor watery vaginal discharge
Transvaginal ultrasound confirmed the presence of a large cervical mass located predominantly on the posterior portion of the cervix
A high amount of fluid was demonstrated in the superior portion of the vagina and there was a disruption of the posterior portion of the hypo-intense fibrous cervical stroma, with the mass growing into the posterior fornix of the vagina
Summary
A 35-year-old 38-weeks-pregnant woman was referred to the gynaecology department of our hospital for the diagnostic workout of excessive pre-labor watery vaginal discharge. Cervical Papanicolaou cytopathology showed a high number of neutrophils, suggesting an inflammatory etiology, without signs of malignancy. At clinical examination a posterior cervical mass was palpable. Transvaginal ultrasound confirmed the presence of a large cervical mass (maximum diameter of 5.5 cm) located predominantly on the posterior portion of the cervix.
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