Advanced Cervical Cancer in a Young Primiparous Woman: A Case Report and Review of Articles

Seth Amponsah-Tabi1,3*, Martin Yao Kekertsor1,3, Helen Ofori Akyiaa1, Daniel Sam2 and Kwame Amissah Appiah-Denyira1,3

1Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Kumasi-Ashanti, Ghana 2Directorate of Oncology, Komfo Anokye Teaching Hospital, Kumasi-Ashanti, Ghana 3Department of Obstetrics and Gynaecology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana

^*Correspondance to: Seth Amponsah-Tabi 

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Abstract:

Introduction: Postcoital bleeding is often linked to serious gynaecological conditions, including cervical cancer, which is primarily caused by Human Papilloma Virus (HPV) infection. It occurs in 11% of cervical cancer cases but can be confused with benign conditions such as leiomyomas and cervical polyps, thus delaying diagnosis and treatment. Case Presentation: A 29-year-old woman with a one-year history of post-coital bleeding and vaginal discharge was initially diagnosed as uterine fibroids. Client underwent myomectomy in a private health facility but the clinician suspected a malignant uterine tissue intra-operatively. However, histopathological examination was not enforced. The persistence of her symptoms after myomectomy resulted in a referral to the district hospital where further evaluation showed advanced cervical cancer. Conclusion: This case depicts the consequences of misdiagnosis and over-reliance on ultrasonography by clinicians. It emphasizes the importance of comprehensive diagnostic evaluations and early intervention to improve patient outcome.

Keywords:

Postcoital bleeding, Cervical cancer, Uterine myoma, HPV, Case report

Cite the Article:

Amponsah-Tabi S, Yao Kekertsor M, Ofori Akyiaa H, Sam D, Amissah Appiah-Denyira K. Advanced Cervical Cancer in a Young Primiparous Woman: A Case Report and Review of Articles. Ann Clin Case Rep. 2025; 10: 2746..