PMC8677399_01
Colposcopy: normal cervix.
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Colposcopy showed a normal cervix (Figure 1), with areas consistent with the recent LEEP procedure; the Squamous-Columnar Junction (SCJ) was fully visible, and no atypical area was detected.
MRI mild-signal hyperintensity in the posterior-left and front cervical side (arrows); no aspects of infiltration of the parametrium.
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The abdomen-pelvis MRI scan (Figure 2) did not show any morphological changes of the abdominal organs.
The cervix after vaginal trachelectomy and Shirodkar's cerclage.
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A small amount of epithelioid cells with a low-malignant potential proliferation index (immunocytochemistry MIB-1 proliferation index < 10% and mitotic index < 2 mitosis for 10 High-Power Fields (HPF) at 400x magnification) was described; no lymphovascular space invasion (LVSI) was detected; morphological and immunocytochemical findings were compatible with a nerve sheath tumor, type schwannoma (Figure 3).
Immunohistochemical positive staining for protein S100 and GFAP.
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fig4
At 14+4 weeks, after a detailed counselling, including the hysterectomy option, the patient accepted to be submitted to a vaginal trachelectomy and prophylactic cervical cerclage according to the Shirodkar technique (Figure 4).