Abstract
A 62-year-old woman, gravida 4, para 3, presented to the hospital with vaginal discharge and intermittent spotting for 6 months. She was identified with an asymptomatic vaginal mass 10 years ago but missed cervical cancer screening and further evaluation. Her gynecologic examination showed a 6-cm bulky vaginal mass arising from the cervix with a 4.5 × 3.5 cm ulcerative lesion. The mass was movable with clear edges, and the vagina and parametrium were not involved on palpation. Magnetic resonance imaging demonstrated a normal uterus and a myoma protruding into the vagina with a slightly high signal intensity lesion on its surface (Fig.
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