# Cervical fibroid – a surgical quandary in gynecology

## TL;DR

Cervical fibroids are rare and challenging to treat surgically due to their location, but careful planning can lead to successful outcomes.

## Contribution

The paper presents three unique cases of cervical fibroid with varied presentations and successful surgical management strategies.

## Key findings

- Cervical fibroids account for 0.6% of all uterine fibroids and cause significant anatomical distortion.
- Pre-operative ureteric stenting and detailed evaluation reduced surgical complications in two cases.
- A third case initially mistaken for a polyp was successfully managed with proper planning.

## Abstract

Cervical fibroids pose unique challenges due to their rarity (0.6% of all uterine fibroids) and location leading to significant anatomical distortion. There will be surgical difficulties due to their proximity to pelvic organs like bladder, ureters, and rectum. This predisposes the surgery for cervical fibroid to complications. Detailed clinical and radiological evaluation of these fibroids help in deciding the treatment approach and mitigate the risk of complication. We present a series of three cases of cervical fibroid with different presentations and management. All these cases were evaluated, and proper pre-operative planning led to complication free surgery. The first and second case presented with huge mass per abdomen and pressure symptoms. Both these cases had pre-operative ureteric stenting followed by definitive surgery. The third case mimicked like a large polyp. This case series will guide surgeons in specific pre-operative planning and surgery in such rare and challenging case.