Unravelling the enigma: case series of cervical fibroids

Cervical fibroids are rare tumors, accounting for only 2% of all fibroids. A cervical leiomyoma is typically single and can be interstitial or subserous. Central cervical fibroids typically develop from the supra vaginal portion of the cervix, expanding the cervix uniformly in all directions and potentially displacing nearby uterine vessels and ureters. During laparotomy, these fibroids are easily identifiable as they fill the pelvis, with the uterus sitting above the tumor, resembling "The Lantern on the top of St. Paul's." Their deep pelvic origin can lead to impaction, resulting in surgical challenges and an increased risk of complications.We present six cases of cervical fibroids. All patients reported menorrhagia as their primary symptom; additionally, one patient had urinary complaints and two experienced abdominal pain. In one case, bilateral ureteric stenting was performed to prevent ureteral injury due to a large central cervical fibroid. The management of symptomatic cervical fibroids generally involves hysterectomy or myomectomy, necessitating the expertise of a skilled surgeon, along with careful measures to minimize complications.