Giant endocervical lipoleiomyoma of cervix in a young female, presenting with prolapse – an unusual presentation

Lipoleiomyoma as we know it, accounts for merely 0.03- 0.2 % of uterine leiomyomas. Predominantly described in the uterine corpus, there have been reports describing their occurrence at uncommon sites like ovary and broad ligament. Cervical leiomyomas however account for 1-2% of all the fibroids encountered clinically and lipoleiomyomas arising from the cervix are even rarer. Our case is unique since it is a giant lipoleiomyoma of cervix in a young patient who presented with prolapse. A 37 year old, female presented with continuous vaginal bleeding from past 3 months, abdominal pain since 1 month and a mass protruding out of vagina since last 1 week. On further investigations while ultrasound was suggestive of an adnexal mass, MRI suggested the presence of cervical leiomyoma. Total abdominal hysterectomy with unilateral salpingo-oophorectomy was performed on histopathology; a final diagnosis of cervical lipoleiomyoma was given. We report this case due to its rarity in terms of uncommon presentation, deceptive characteristics on radiology and its unusually large size and we also emphasize the role of imaging and histopathology with immunohistochemistry in diagnosis of this rare variant of leiomyoma of cervix .