PMC9630888_01
Prolapsed cervical leiomyoma impacted at the vaginal introitus. (a) The
degenerative changes of the tumour at the apical segment.
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On vaginal examination, there was a large friable, prolapsed uterine fibroid with apical necrosis, tightly impacted vaginally (Figure 1).
Resected leiomyoma.
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The fibroid was resected vaginally with a gentle pull and the distorted cervix was isolated (Figures 2 and 3).
The resected myoma and the uterus: (a) resected cervical myoma, (b) uterus,
and (c) uterine cervix. Note the altered architecture of the uterine
cervix.
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The fibroid was resected vaginally with a gentle pull and the distorted cervix was isolated (Figures 2 and 3).
Abdominal approach for the hysterectomy and salpingectomy.
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The uterus and adnexa were in normal confines and a routine abdominal hysterectomy with salpingectomy was performed via a Pfannenstiel incision (Figure 4).
(a) Interlacing fascicles of smooth muscle bundles (H&E, x10) and (b)
spindle cells with bland nuclei in myxoid stroma (H&E, x40).
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Microscopically, the typical appearance of a leiomyoma with the degenerative changes was noted (Figure 5(a) and (b)).