Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case report

This case report is on cervical spindle cell neoplasm and complications of its excision. A 34-year-old multiparous woman presented with a one-year history of mild to moderate non-radiating lower abdominal pain and a sensation of a mass in the vagina when urinating. These symptoms were associated wit...

Full description

Bibliographic Details
Main Authors: Ntsako Nkanyane, Nnabuike Chibuoke Ngene
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911222000455
_version_ 1811313824903462912
author Ntsako Nkanyane
Nnabuike Chibuoke Ngene
author_facet Ntsako Nkanyane
Nnabuike Chibuoke Ngene
author_sort Ntsako Nkanyane
collection DOAJ
description This case report is on cervical spindle cell neoplasm and complications of its excision. A 34-year-old multiparous woman presented with a one-year history of mild to moderate non-radiating lower abdominal pain and a sensation of a mass in the vagina when urinating. These symptoms were associated with a recurrent foul-smelling yellow vaginal discharge which was unresponsive to antibiotic therapy prescribed at a primary healthcare clinic. Vaginal examination at a gynaecological clinic revealed a firm circular cervical mass. Excision biopsy of the mass (attached between the 1 and 3 o'clock positions on the cervix) showed a benign spindle cell neoplasm. The patient became pregnant six months after the surgical excision and had a miscarriage at 18 weeks of gestation due to cervical insufficiency. The report highlights the importance of antenatal surveillance for women following surgical excision of a cervical lesion such as spindle cell neoplasm as they may be predisposed to cervical insufficiency.
first_indexed 2024-04-13T11:01:39Z
format Article
id doaj.art-e3e63bdfbd3f4ecaa89e453c1a438403
institution Directory Open Access Journal
issn 2214-9112
language English
last_indexed 2024-04-13T11:01:39Z
publishDate 2022-07-01
publisher Elsevier
record_format Article
series Case Reports in Women's Health
spelling doaj.art-e3e63bdfbd3f4ecaa89e453c1a4384032022-12-22T02:49:24ZengElsevierCase Reports in Women's Health2214-91122022-07-0135e00425Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case reportNtsako Nkanyane0Nnabuike Chibuoke Ngene1Department of Obstetrics and Gynecology, Leratong Hospital, Krugersdorp, South Africa.Department of Obstetrics and Gynecology, Leratong Hospital, Krugersdorp, South Africa.; Department of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; Corresponding author at: Department of Obstetrics and Gynecology, Leratong Hospital, Krugersdorp, Gauteng Province, South Africa.This case report is on cervical spindle cell neoplasm and complications of its excision. A 34-year-old multiparous woman presented with a one-year history of mild to moderate non-radiating lower abdominal pain and a sensation of a mass in the vagina when urinating. These symptoms were associated with a recurrent foul-smelling yellow vaginal discharge which was unresponsive to antibiotic therapy prescribed at a primary healthcare clinic. Vaginal examination at a gynaecological clinic revealed a firm circular cervical mass. Excision biopsy of the mass (attached between the 1 and 3 o'clock positions on the cervix) showed a benign spindle cell neoplasm. The patient became pregnant six months after the surgical excision and had a miscarriage at 18 weeks of gestation due to cervical insufficiency. The report highlights the importance of antenatal surveillance for women following surgical excision of a cervical lesion such as spindle cell neoplasm as they may be predisposed to cervical insufficiency.http://www.sciencedirect.com/science/article/pii/S2214911222000455Cervical incompetenceCervical insufficiencyCervical massMiscarriageSpindle cell neoplasm of cervix
spellingShingle Ntsako Nkanyane
Nnabuike Chibuoke Ngene
Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case report
Case Reports in Women's Health
Cervical incompetence
Cervical insufficiency
Cervical mass
Miscarriage
Spindle cell neoplasm of cervix
title Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case report
title_full Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case report
title_fullStr Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case report
title_full_unstemmed Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case report
title_short Surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency: A case report
title_sort surgical excision of benign spindle cell neoplasm of the cervix predating miscarriage due to cervical insufficiency a case report
topic Cervical incompetence
Cervical insufficiency
Cervical mass
Miscarriage
Spindle cell neoplasm of cervix
url http://www.sciencedirect.com/science/article/pii/S2214911222000455
work_keys_str_mv AT ntsakonkanyane surgicalexcisionofbenignspindlecellneoplasmofthecervixpredatingmiscarriageduetocervicalinsufficiencyacasereport
AT nnabuikechibuokengene surgicalexcisionofbenignspindlecellneoplasmofthecervixpredatingmiscarriageduetocervicalinsufficiencyacasereport